Organization
LOGICAL MOBILE LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA HICKENBOTHAM (MEDICAL LABORATORY TECHNICIAN)
(704) 773-7475
Entity
Organization
Contact information
Practice address
7319 BEACON HILL LN APT 26, CHARLOTTE, NC 28270-5994
(704) 773-7475
Mailing address
7319 BEACON HILL LN APT 26, CHARLOTTE, NC 28270-5994
(704) 773-7475
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
Other
Enumeration date
08/06/2021
Last updated
01/05/2024
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