MEDICARE: KOMFORT LABS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246QL0900X	Laboratory Management Specialist/Technologist

General Provider Information

NPI Number	:	1134794233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOMFORT LABS, LLC

Provider Business Mailing Address
First Line	:	3601 HILTON AVE
Second Line	:	STE 224
City	:	COLUMBUS
State	:	GA
Zip	:	31904
Country	:	US
Telephone Number	:	706-780-1022
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 HILTON AVENUE
Second Line	:	SUITE 224
City	:	COLUMBUS
State	:	GA
Zip	:	31904
Country	:	US
Telephone Number	:	706-780-1022
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TAMEIKA DICKS
Credential	:
Telephone Number	:	706-393-2903

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	05/21/2021

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Directions to “KOMFORT LABS, LLC ” Practice Location

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