REVIVED MEDICAL LAB, LLC

FLORENCE, SC
NPI1811664519
Entity TypeOrganization
Authorized ContactLAVANDA MARTIN
Director
843-799-2649
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2021-08-30
Last Update Date2021-10-11
Business Address
REVIVED MEDICAL LAB, LLC
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501-4909
Phone number: 843-799-2649
Mailing Address
REVIVED MEDICAL LAB, LLC
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501-4909
Phone number: 843-799-2649