Carolina Lab 101

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CAROLINA LAB 101

Doing business as

Carolina Lab 101

Practice address

305 Citrus Circle
Orangeburg, SC 29115

Phone

(518) 816-6506

NPI assigned

Jun 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lamira Bennett, RMA

Title

Registered Medical Assistant

Phone

(518) 816-6506

Specialties & licenses 4

Addresses

Other names 1

• Carolina Lab 101 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1013750165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CITRUS CIRCLE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "518-816-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CITRUS CIRCLE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "518-816-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA LAB 101",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LAMIRA",
        "authorized_official_title_or_position": "REGISTERED MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "518-816-6506",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Lab 101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Cantley Carn, RN
• Carolina Chiropractic Clinic LLC
• Carolina Comfort Angels LLC
• Carolina Foot Institute, LLC (The Foot Institute)
• Carolina Healthchoice of Orangeburg, LLC
• Carolina Orthotics and Prosthetics
• Carolina Speech and Language Associates, LLC
• Carolina Therapy Services
• Nikki Carr
• Justin Carroll

• Clinical Medical Laboratory in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.