OrganizationSelect Toxicology Lab (Stl), LlcClinical Medical LaboratoryLaboratoriesPractice Address1051 Bill Buyck Blvd, Ste A, Manning, SC 29102-9242(803) 505-6100(336) 510-1120PECOS EnrollmentBased on the most recent information from CMS, provider Select Toxicology Lab (Stl), Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1952790206Provider TypeOrganizationFull NameSelect Toxicology Lab (Stl), LlcSubpartNoEnumeration Date1/9/2015Last Updated6/27/2023Contact InformationPractice LocationPractice Address1051 Bill Buyck Blvd, Ste A, Manning, SC 29102-9242Phone(803) 505-6100FaxUnlisted FaxMailing LocationMailing AddressPO Box 13029, Greensboro, NC 27415-3029Phone(336) 510-1120FaxUnlisted FaxAuthorized OfficialNameWaddington, Bill (President)Phone(352) 653-9198Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1528122678DescriptionOtherIssuerCLIASouth Carolina