Organization
IQLABTESTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIKANTH VEDAMOORTHY (PRESIDENT)
(614) 893-3137
Entity
Organization
Contact information
Practice address
960 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433
(614) 893-3137
(704) 479-6665
Mailing address
559 ELIZABETH LEE DR NW, CONCORD, NC 28027-6576
(614) 893-3137
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
05/07/2022
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