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Contact Information

CAROLINA LAB 101
305 CITRUS CIRCLE
ORANGEBURG, SC29115
 Phone: 518-816-6506
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Health Service

261QH0100X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for CAROLINA LAB 101

NPI # 1013750165
LBN Legal business name CAROLINA LAB 101
Authorized official LAMIRA BENNETT - (REGISTERED MEDICAL ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2024
Last updated 06/24/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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