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Organization

CONVENIENT CLINICAL LABS LLC

Active
Other names
Latadra Thomas
Organization subpart
No

Provider details

NPI number
Authorized official
LATADRA S THOMAS CPT, CCMA, (PHLEBOTOMIST)
(478) 299-2244
Entity
Organization

Contact information

Practice address
231 VINCENNE RD, COLUMBIA, SC 29212-3342
(478) 299-2244
Mailing address
231 VINCENNE RD, COLUMBIA, SC 29212-3342
(478) 299-2244

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
11/03/2023
Last updated
11/03/2023
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