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NPI Code Detail

MEDICARE: PREMIERE MOBILE COMPLIANCE LLC

MEDICARE: PREMIERE MOBILE COMPLIANCE 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
1246Q00000XPathology Specialist/Technologist

General Provider Information

NPI Number : 1164361242
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIERE MOBILE COMPLIANCE LLC
Provider Business Mailing Address
First Line : 6650 RIVERS AVE STE 100
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-4809
Country : US
Telephone Number : 803-288-9690
Fax Number : 888-649-3790
Provider Business Practice Location Address
First Line : 6650 RIVERS AVE STE 101
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-4809
Country : US
Telephone Number : 803-288-9690
Fax Number : 888-649-3790
Authorized Official
Title or Position : MANAGING MEMBER
Name : MS. LENZENE L RUFUS
Credential :
Telephone Number : 803-288-9690
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “PREMIERE MOBILE COMPLIANCE LLC ” Practice Location

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