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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

NPI # 1013857655
LBN Legal business name BLACK RIVER LABS AND WELLNESS CENTER
Authorized official FELECIA SCOTT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2026
Last updated 04/01/2026 - About 2 months 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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