Organization
COVILAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONELLE BROCKINGTON (COVILAB OWNER)
(770) 946-6750
Entity
Organization
Contact information
Practice address
325 E 9TH ST, CHARLOTTE, NC 28202-2551
(770) 946-6750
Mailing address
2306 BROAD DR, FLORENCE, SC 29505-6108
(770) 946-6750
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
02/17/2022
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