Organization
SELECT TOXICOLOGY LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WADDINGTON (PRESIDENT)
(803) 505-6100
Entity
Organization
Contact information
Practice address
1051 BILL BUYCK BLVD, MANNING, SC 29102-9242
(803) 505-6100
(803) 505-6130
Mailing address
1051 BILL BUYCK BLVD, MANNING, SC 29102-9242
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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