Provider Demographics
NPI:1134939309
Name:ICARE MOBILE LAB SERVICES LLC
Entity type:Organization
Organization Name:ICARE MOBILE LAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IANTHE
Authorized Official - Middle Name:MARGORIE
Authorized Official - Last Name:BING
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:803-679-0827
Mailing Address - Street 1:195 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:SC
Mailing Address - Zip Code:29810-4125
Mailing Address - Country:US
Mailing Address - Phone:803-679-0827
Mailing Address - Fax:844-888-0389
Practice Address - Street 1:195 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:SC
Practice Address - Zip Code:29810-4125
Practice Address - Country:US
Practice Address - Phone:803-679-0827
Practice Address - Fax:844-888-0389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty