Provider Demographics
NPI:1689322422
Name:PRIMELABS TESTING AND SCREENING, LLC
Entity Type:Organization
Organization Name:PRIMELABS TESTING AND SCREENING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEWART-CAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-209-6968
Mailing Address - Street 1:116 E MAIN ST # 201
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-4540
Mailing Address - Country:US
Mailing Address - Phone:888-627-5224
Mailing Address - Fax:803-526-7064
Practice Address - Street 1:454 ANDERSON RD S STE 136
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-3398
Practice Address - Country:US
Practice Address - Phone:888-627-5224
Practice Address - Fax:803-526-7064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service