Black River Labs and Wellness Center

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

BLACK RIVER LABS AND WELLNESS CENTER

Practice address

960 Berry St
Orangeburg, SC 29115-4317

Phone

(803) 809-0099

NPI assigned

Mar 27, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Felecia Shavon Scott, CPT, MA, BA PSY

Title

Owner

Phone

(803) 809-0099

Specialties & licenses 1

Addresses

Tax ID family

Black River Labs and Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Black River Labs and Wellness Center

  • Phlebotomy Technician
  • Orangeburg, SC
  • NPI 1013857655
  NPD tax ID
• Black River Labs and Wellness Center

  • Health Service Clinic/Center
  • Orangeburg, SC
  • NPI 1952241598
  NPD tax ID

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1184563652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 BERRY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154317",
            "telephone_number": "803-809-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BERRY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154317",
            "telephone_number": "803-809-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK RIVER LABS AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "FELECIA",
        "authorized_official_middle_name": "SHAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-809-0099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPT, MA, BA PSY"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Bik
• Bio-Medical Applications of South Carolina, Inc. (Fresenius Kidney Care Orangeburg)
• Biologic P and O, LLC
• Biologic P and O, LLC
• Black River Labs and Wellness Center
• Black River Labs and Wellness Center
• Matthew Lynn Blackburn, M.D.
• Sally S Blake, FNP-C
• Gerard Kevin Blanchard Sr., LICENSED OPTICIAN
• Kevin L. Blanchard, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.