4 LIFE LAB NPI 1821501800

NPI Information

4 LIFE LAB is a clinic center in Charlotte, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). 4 LIFE LAB NPI is 1821501800. The provider is registered as an organization entity type.

The provider's business location address is:

11709 FRUEHAUF DR STE 103
CHARLOTTE, NC
ZIP 28273-285
Phone: (318) 278-1319

The provider's authorized official is Markuetric D Stringfellow .
The authorized official title is Owner and has the following contact phone number (318) 278-1319.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 6/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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