BLACK RIVER LABS AND WELLNESS CENTER – NPI #1184563652
Technician, Pathology

BLACK RIVER LABS AND WELLNESS CENTER is a pathology technician located in ORANGEBURG, SC. NPPES recently assigned the NPI number 1184563652 to BLACK RIVER LABS AND WELLNESS CENTER on March 27, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246RM2200X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Medical Laboratory

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACK RIVER LABS AND WELLNESS CENTER below.

NPI Profile for
BLACK RIVER LABS AND WELLNESS CENTER

NPI Number
1184563652
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLACK RIVER LABS AND WELLNESS CENTER
Primary location
960 BERRY ST
ORANGEBURG, SC 29115-4317
Phone: (803) 809-0099 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FELECIA SCOTT
OWNER
Phone: (803) 809-0099
Updated
Certification Date
Mar 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RM2200X
- Technician, Pathology / Medical Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.