Provider Demographics
NPI:1912641887
Name:ZMOBILE LAB LLC
Entity type:Organization
Organization Name:ZMOBILE LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AOI
Authorized Official - Prefix:
Authorized Official - First Name:ZAHIYAH
Authorized Official - Middle Name:T
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-830-2048
Mailing Address - Street 1:7821 SAINT ANDREW RD
Mailing Address - Street 2:#2685
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-4220
Mailing Address - Country:US
Mailing Address - Phone:803-830-2048
Mailing Address - Fax:
Practice Address - Street 1:2712 MIDDLEBURG DRIVE
Practice Address - Street 2:SUITE 104 ROOM 384
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204
Practice Address - Country:US
Practice Address - Phone:803-830-2048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty