Provider Demographics
NPI:1407507775
Name:TESTME LAB SOLUTIONS LLC
Entity Type:Organization
Organization Name:TESTME LAB SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:JONI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS GATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:843-618-8796
Mailing Address - Street 1:1345 GARNER LN UNIT 306
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-8362
Mailing Address - Country:US
Mailing Address - Phone:843-618-8796
Mailing Address - Fax:
Practice Address - Street 1:1345 GARNER LN UNIT 306
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-8362
Practice Address - Country:US
Practice Address - Phone:843-618-8796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory