On the Go Mobile Lab, LLC
NPI #1154177053 in Chester, South Carolina
Provider Information
- NPI Number
- 1154177053
- Entity Type
- Organization
- Organization Name
- On the Go Mobile Lab, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 30, 2024
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 1645 J A COCHRAN BYP STE A1
- City
- Chester
- State
- South Carolina
- ZIP Code
- 29706-2105
- Phone
- (803) 581-1313
Authorized Official
- Name
- TWANDA NICOLE PENDERGRASS, CPT,CNA
- Title
- CEO
- Phone
- (803) 581-1313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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