Organization
ENSIGHT LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBRATA YORELL ALFORD MSN. RN (OWNER/ DIRECTOR)
(843) 845-2596
Entity
Organization
Contact information
Practice address
622 COYOTE LN, BLYTHEWOOD, SC 29016-9258
(843) 845-2596
Mailing address
622 COYOTE LN, BLYTHEWOOD, SC 29016-9258
(843) 845-2596
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
12/20/2024
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