| 4 Life Lab | |
|
11709 Fruehauf Dr Ste 103 Charlotte NC 28273-7285 | |
| (318) 278-1319 | |
| Not Available |
| Full Name | 4 Life Lab |
|---|---|
| Speciality | Clinic/center |
| Location | 11709 Fruehauf Dr Ste 103, Charlotte, North Carolina |
| Authorized Official Name and Position | Markuetric D Stringfellow (OWNER) |
| Authorized Official Contact | 3182781319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Life Lab 201 W Olive Ave Ruston LA 71270-6356 Ph: () - | 4 Life Lab 11709 Fruehauf Dr Ste 103 Charlotte NC 28273-7285 Ph: (318) 278-1319 |
| NPI Number | 1821501800 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821501800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (North Carolina) | Primary |
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