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1811664519
REVIVED MEDICAL LAB, LLC
FLORENCE, SC
NPI
1811664519
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Entity Type
Organization
Authorized Contact
LAVANDA MARTIN
Director
843-799-2649
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2021-08-30
Last Update Date
2021-10-11
Business Address
REVIVED MEDICAL LAB, LLC
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501-4909
Phone number: 843-799-2649
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Mailing Address
REVIVED MEDICAL LAB, LLC
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501-4909
Phone number: 843-799-2649
Copy
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