NPI 1154177053
On the Go Mobile Lab, LLC
Practice location
- Address
- 1645 J a Cochran Byp STE A1, Chester, SC 29706-2105
- Phone
- (803) 581-1313
- Fax
- (803) 620-4635
Authorised official
- Name
- Twanda Nicole Pendergrass
- Title
- Ceo
- Phone
- (803) 581-1313
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1154177053
- Entity type
- Organization
- NPI issued
- 30 Apr 2024
- Record last updated
- 30 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.