Organization
THE LAB COLUMBIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUANA THOMPSON (BUSINESS CO-OWNER)
(314) 888-5630
Entity
Organization
Contact information
Practice address
11134 BROAD RIVER RD, STE B PMB 1004, IRMO, SC 29063
(314) 888-5630
(314) 293-6711
Mailing address
11134 BROAD RIVER RD, STE B PMB 1004, IRMO, SC 29063
(314) 888-5630
(314) 293-6711
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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