Organization
4 LIFE LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARKUETRIC D STRINGFELLOW (OWNER)
(318) 278-1319
Entity
Organization
Contact information
Practice address
11709 FRUEHAUF DR STE 103, CHARLOTTE, NC 28273-7285
(318) 278-1319
Mailing address
201 W OLIVE AVE, RUSTON, LA 71270-6356
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NC
Other
Enumeration date
11/13/2017
Last updated
06/20/2018
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