CONCIERGE MEDICAL LAB NPI 1366220758

NPI Information

  • NPI: 1366220758
  • Provider Name: CONCIERGE MEDICAL LAB
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: CONCIERGE MEDICAL LAB
  • Address: 110 WILDEWOOD PARK DR STE A
    COLUMBIA, SC
    ZIP 29223
  • Phone: (803) 722-9888

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NPI Details

CONCIERGE MEDICAL LAB is a primary care clinic center in Columbia, SC. CONCIERGE MEDICAL LAB NPI is 1366220758. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Concierge Medical Lab.

The provider's business location address is:

110 WILDEWOOD PARK DR STE A
COLUMBIA, SC
ZIP 29223-301
Phone: (803) 722-9888
Fax: (803) 656-8135

The provider's authorized official is Sarah Doctor-greenwade .
The authorized official title is Chief Executive Officer and has the following contact phone number (803) 722-4988.

The enumeration date for this NPI number is 9/18/2023 and was last updated on 5/28/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0001XInternal MedicineClinical & Laboratory ImmunologyNo
2246RM2200XTechnician, PathologyMedical LaboratoryNo
3261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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