Organization
PRECIOUS JEWELS MEDICAL LAB
Active
Parent organization
PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC
Authorized official
NIKITA PETE DNP (MEDICAL OFFICER)
(803) 830-9095
Entity
Organization
Contact information
Practice address
401 WESTERN LN STE B, IRMO, SC 29063-7953
(803) 830-9095
Mailing address
401 WESTERN LN STE B, IRMO, SC 29063-7953
(803) 830-9095
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
02/09/2022
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