Organization
C & C MEDICAL LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYTAYA CARSON RMA (OWNER/ OPERATOR)
(864) 395-0986
Entity
Organization
Contact information
Practice address
124 EDINBURGH CT STE 109, GREENVILLE, SC 29607-2542
(864) 412-5051
Mailing address
124 EDINBURGH CT STE 109, GREENVILLE, SC 29607-2542
(864) 412-5051
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
05/21/2021
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