Revived Medical Lab, Llc

LBN: Revived Medical Lab, Llc
Revived Medical Lab, Llc is an health care organization with primary practice located at 2724 W Palmetto St Ste 5 , Florence SC 29501-4909. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Revived Medical Lab, Llc can be contacted via phone (843) 799-2649, or through Martin, Lavanda via phone (843) 799-2649.

Contact Information

Primary practice address
2724 W Palmetto St Ste 5 Florence SC 29501-4909
Phone: (843) 799-2649
Fax: (843) 799-4224
Website:
Map and Directions
Authorized official contact:
Name: Martin, Lavanda Registered Nurse (RN)
Phone: (843) 799-2649

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1811664519
LBN Legal business name Revived Medical Lab, Llc
DBA Doing business as
Authorized official Martin, Lavanda Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2021
Last updated Oct 11th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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