Organization
ABUNDANT LIFE MOBILE LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUILL NELSON (ORGANIZER)
(980) 224-3640
Entity
Organization
Contact information
Practice address
5960 FAIRVIEW RD STE 400, CHARLOTTE, NC 28210-3119
(980) 224-3640
Mailing address
4726 DAWNWOOD DR, CHARLOTTE, NC 28212-4711
(980) 224-3640
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/22/2026
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