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ENVISION LAB SERVICES LLC
NPI 1497408504
Clinic/Center - Health Service in Lane, SC

Active since January 28, 2022
136 JANE HARVIN RD, LANE, SC 29564(843) 244-0896 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Envision Lab Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENVISION LAB SERVICES LLC (NPI 1497408504) is a healthcare organization registered as a health service in Lane, South Carolina and active in the NPI registry since January 2022. The organization lists Ashanti J Gibson, Owner, as its authorized official.

NPPES Registry Identity

NPI1497408504
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameENVISION LAB SERVICES LLC
Location Address136 JANE HARVIN RDLane, SC 29564-5010
Mailing Address136 Jane Harvin RdLane, SC 29564-5010 · (843) 244-0896
Phone(843) 244-0896
Organization SubpartNo
Authorized OfficialAshanti J GibsonOwner · (843) 244-0896
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
✔ NPI 1497408504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
136 JANE HARVIN RD, Lane, SC 29564
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Envision Lab Services LLC's NPI number?

The NPI number for Envision Lab Services LLC is 1497408504. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Envision Lab Services LLC located?

Envision Lab Services LLC is located at 136 Jane Harvin Rd, Lane, SC 29564. The listed phone number is (843) 244-0896.

What is Envision Lab Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Envision Lab Services LLC was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.