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NPI Code Detail

MEDICARE: AP LABORATORY

MEDICARE: AP LABORATORY
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
1207ZC0500XCytopathology Physician
2291U00000XClinical Medical Laboratory
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1316274764
Entity Type Code : Organization
Provider Name (Legal Business Name) : AP LABORATORY
Provider Business Mailing Address
First Line : PO BOX 2697
Second Line :
City : STATESBORO
State : GA
Zip : 30459-2697
Country : US
Telephone Number : 912-225-9712
Fax Number : 703-991-7215
Provider Business Practice Location Address
First Line : 283 DORCHESTER MANOR BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29420-8108
Country : US
Telephone Number : 912-225-9712
Fax Number : 703-991-7215
Authorized Official
Title or Position : CEO
Name : DR. THOMAS CARICO
Credential :
Telephone Number : 843-605-5087
Provider Enumeration Date : 11/05/2009
Last Update Date : 06/01/2022

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1336453083 — PHYSICIANS HEALTH SOLUTIONS
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Directions to “AP LABORATORY ” Practice Location

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