National Provider Identifier Database

BLACK RIVER LABS AND WELLNESS CENTER
Phlebotomy


Contact Information

BLACK RIVER LABS AND WELLNESS CENTER
960 BERRY ST
ORANGEBURG, SC29115-4317
Phone: 803-809-0099
Fax:
Website:
Specialty Taxonomy Code
* Phlebotomy 246RP1900X

* Indicates primary specialty

NPI Profile & details for BLACK RIVER LABS AND WELLNESS CENTER

NPI Number 1013857655
Legal business name
LBN
BLACK RIVER LABS AND WELLNESS CENTER
Authorized official FELECIA SCOTT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/01/2026
Last updated 04/01/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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