MEDICARE: METRO MOBILE LAB SERVICES, 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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1831980044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO MOBILE LAB SERVICES, LLC

Provider Business Mailing Address
First Line	:	1625 CHARLESTON HWY STE I
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-5077
Country	:	US
Telephone Number	:	803-212-5823
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 CHARLESTON HWY STE I
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-5077
Country	:	US
Telephone Number	:	803-212-5823
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. AMANDA SCOTT
Credential	:	PHLEBOTOMIST
Telephone Number	:	803-239-7513

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/19/2025

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