Organization
ON THE GO MOBILE LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TWANDA NICOLE PENDERGRASS CPT,CNA (CEO)
(803) 581-1313
Entity
Organization
Contact information
Practice address
1645 J A COCHRAN BYP STE A1, CHESTER, SC 29706-2105
(803) 581-1313
(803) 620-4635
Mailing address
1645 J A COCHRAN BYP STE A1, CHESTER, SC 29706-2105
(803) 581-1313
(803) 620-4635
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up