Organization
ONE LOVE PERIODIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVIE WIDEMAN (OWNER)
(704) 510-4286
Entity
Organization
Contact information
Practice address
4922 ALBEMARLE RD, CHARLOTTE, NC 28205-6618
(704) 510-4286
(866) 577-8515
Mailing address
4922 ALBEMARLE RD, CHARLOTTE, NC 28205-6618
(704) 510-4286
(866) 577-8515
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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