Organization · Type 2 NPI

4 Life Lab

Clinic/Center · Charlotte, NC

NPI number 1821501800 Active

Practice location

11709 Fruehauf Dr Ste 103
Charlotte, NC 28273-7285

Call (318) 278-1319 Map

Mailing address

201 W Olive Ave
Ruston, LA 71270-6356

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1821501800

4 Life Lab's National Provider Identifier is 1821501800, issued on Nov 13, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 20, 2018.