Organization
MY LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAMPTON MANNING PHARMD (OWNER)
(803) 756-3460
Entity
Organization
Contact information
Practice address
808 HIGHWAY 378 STE B, LEXINGTON, SC 29072-8379
(803) 756-3460
(803) 756-3461
Mailing address
808 HIGHWAY 378 STE B, LEXINGTON, SC 29072-8379
(803) 756-3460
(803) 756-3461
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D2265053
CLIA ID
SC
Enumeration date
07/22/2022
Last updated
07/22/2022
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