Organization
UPLIFT DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA CAMPBELL (PRESIDENT)
(765) 409-9633
Entity
Organization
Contact information
Practice address
304 E WASHINGTON ST, LA GRANGE, NC 28551-1856
(252) 566-3010
Mailing address
PO BOX 254, LA GRANGE, NC 28551-0254
(252) 566-3010
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
11/30/2021
Last updated
12/13/2021
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