Healthcare Provider Details

I. General information

NPI: 1194640466
Provider Name (Legal Business Name): FORTUITY FLOW LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 HILLCREST DR
LAURENS SC
29360-2340
US

IV. Provider business mailing address

112 HILLCREST DR
LAURENS SC
29360-2340
US

V. Phone/Fax

Practice location:
  • Phone: 864-810-6772
  • Fax:
Mailing address:
  • Phone: 864-810-6772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIE WEBB
Title or Position: OWNER
Credential: CPT
Phone: 864-810-6772