Provider Demographics
NPI:1316274764
Name:AP LABORATORY
Entity type:Organization
Organization Name:AP LABORATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-605-5087
Mailing Address - Street 1:PO BOX 2697
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30459-2697
Mailing Address - Country:US
Mailing Address - Phone:912-225-9712
Mailing Address - Fax:703-991-7215
Practice Address - Street 1:283 DORCHESTER MANOR BLVD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-8108
Practice Address - Country:US
Practice Address - Phone:912-225-9712
Practice Address - Fax:703-991-7215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathologyGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty