Organization
INDEPENDENT LABORATORY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LE BLEAU (OWNER)
(520) 405-8649
Entity
Organization
Contact information
Practice address
1729 ALAN BROKE DRIVE, MT. PLEASANT, SC 29466-9214
(520) 405-8649
Mailing address
1729 ALAN BROKE DRIVE, MT. PLEASANT, SC 29466
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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