Organization
FABULOSITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAWN MORRIS MLT (OWNER)
(307) 302-0006
Entity
Organization
Contact information
Practice address
1748 LITTLE TEXAS RD, TRAVELERS REST, SC 29690-9525
(307) 302-0006
Mailing address
1748 LITTLE TEXAS RD, TRAVELERS REST, SC 29690-9525
(307) 302-0006
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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