Organization
PHI LIFE SCIENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAWAN HURST MS (CEO)
(888) 576-5445
Entity
Organization
Contact information
Practice address
4701 MELBOURNE PL STE A2, COLLEGE PARK, MD 20740-2540
(888) 576-5445
(888) 738-2470
Mailing address
645 MEETING ST STE 3, CHARLESTON, SC 29403-4277
(888) 576-5445
(843) 724-3480
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D2158103
CLIA
MD
Enumeration date
12/21/2018
Last updated
03/25/2024
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