Medilabs LLC

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

MEDILABS LLC

Practice address

1302 4TH Ave Ste 1
Conway, SC 29526-5018

Phone

(843) 438-8064

Fax

(843) 438-8064

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Wakeeta Rowe, MBA

Title

Ceo

Phone

(843) 438-8064

Specialties & licenses 9

Addresses

Other names 2

• MediLabs of Conway Doing business as
• MediLabs of Loris Doing business as

Locations

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1932054012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 AUGUSTA GREEN WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797163",
            "telephone_number": "843-543-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 4TH AVE STE 1",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265018",
            "telephone_number": "843-438-8064",
            "fax_number": "843-438-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4008 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692446",
            "country_code": "US",
            "telephone_number": "843-742-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 N Oak St Ste 205F",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295773164",
            "country_code": "US",
            "telephone_number": "843-742-5252",
            "fax_number": "843-742-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDILABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "WAKEETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-438-8064",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediLabs of Conway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MediLabs of Loris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Pathology/Laboratory Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Clinical Pathology/Laboratory Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.