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Contact Information

BLACK RIVER LABS AND WELLNESS CENTER
960 BERRY ST
ORANGEBURG, SC29115-4317
 Phone: 803-809-0099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebotomy

246RP1900X
Indicates primary specialty

NPI Profile & details for BLACK RIVER LABS AND WELLNESS CENTER · (Female)

NPI Number 1013857655
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2026
Last updated 04/01/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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