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Organization

LABSOURCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL MCCOLLUM D.C. (OWNER)
(864) 343-1000
Entity
Organization

Contact information

Practice address
25 AIRPARK COURT, GREENVILLE, SC 29607-2183
(864) 312-6930
(864) 312-6927
Mailing address
25 AIRPARK CT, GREENVILLE, SC 29607-6188
(864) 343-0010
(864) 312-6927

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
05/08/2012
Last updated
01/25/2019
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