Type not stated

Labsource, LLC

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

KMAP Provider Number 201103960A

Sanctions and listings2

  • Effective
    3 Oct 2025

    Official designation

    South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause

    scdhhs.gov

  • Effective
    25 Aug 2022

    Official designation

    Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States

    Loss of license or other State action.

    kdhe.ks.gov

Identifiers1

IdentifierNumber
NPI number1801155106

Addresses1

  • Greenville, SC 29607

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