# CONCIERGE LAB LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811643687
- **Authorized official:** CEOLA MOORE REGISTERED NURSE (CEO/FOUNDER)
- **Authorized official phone:** (601) 756-4020

## Contact information

- **Practice address:** 628 N PLEASANT HILL RD, NEWHEBRON, MS 39140-4028
- **Practice address phone:** (601) 756-4020
- **Mailing address:** 628 N PLEASANT HILL RD, NEWHEBRON, MS 39140-4028
- **Mailing address phone:** (601) 756-4020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 04/12/2022