Organization
RX LABS
Active
Parent organization
STARLEEN WALLER DBA RX LABS
Organization subpart
Yes
Provider details
NPI number
Legal business name
STARLEEN WALLER DBA RX LABS
Authorized official
STARLEEN WALLER (OWNER)
(803) 832-4674
Entity
Organization
Contact information
Practice address
109 HUNTERS RUN DR, BLYTHEWOOD, SC 29016-9206
(803) 832-4674
(803) 753-8465
Mailing address
9005 TWO NOTCH RD, SUITE 16, COLUMBIA, SC 29223-5850
(803) 832-4674
(803) 753-8465
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
347C00000X
Private Vehicle
Primary
—
SC
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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