Organization
CAROLINA LAB 101
Active
Other names
Carolina Lab 101
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAMIRA BENNETT RMA (REGISTERED MEDICAL ASSISTANT)
(518) 816-6506
Entity
Organization
Contact information
Practice address
305 CITRUS CIRCLE, ORANGEBURG, SC 29115
(518) 816-6506
Mailing address
305 CITRUS CIRCLE, ORANGEBURG, SC 29115
(518) 816-6506
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/17/2024
Last updated
06/24/2024
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