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General NPI Number Information
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NPI Number | 1831980044
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Entity Type | Organization
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Legal Business Name | METRO MOBILE LAB SERVICES, LLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1625 CHARLESTON HWY STE I
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5077
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Country | US
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Telephone | 803-212-5823
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 CHARLESTON HWY STE I
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5077
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Country | US
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Telephone | 803-212-5823
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. AMANDA SCOTT
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Credential | PHLEBOTOMIST
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Telephone | 803-239-7513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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