RX Labs

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

RX LABS

Practice address

109 Hunters Run Dr
Blythewood, SC 29016-9206

Phone

(803) 832-4674

Fax

(803) 753-8465

NPI assigned

Nov 18, 2016

Organization subpart

Yes

Parent organization

STARLEEN WALLER DBA RX LABSAs reported in NPPES

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

Authorized official

Name

Starleen Waller

Title

Owner

Phone

(803) 832-4674

Specialties & licenses 2

Addresses

Part of

RX Labs

Locations

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1023551371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 TWO NOTCH RD",
            "address_2": "SUITE 16",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235850",
            "telephone_number": "803-832-4674",
            "fax_number": "803-753-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HUNTERS RUN DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169206",
            "telephone_number": "803-832-4674",
            "fax_number": "803-753-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX LABS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STARLEEN WALLER DBA RX LABS",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "STARLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-832-4674"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Private Vehicle in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.