| NPI | 1417627894 |
|---|---|
| Doing Business As | RAVANT LAB SERVICES |
| Entity Type | Organization |
| Authorized Contact | STEFANIE R. GIFFORD Director 843-263-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-10-31 |