Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Concierge Medical Lab

Organization Clinical & Laboratory Immunology (Internal Medicine) Physician · NPI 1366220758

Concierge Medical Lab is a Clinical & Laboratory Immunology (Internal Medicine) Physician in Columbia, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

110 Wildewood Park Dr Ste A
Columbia, SC 29223-4301
Phone: (803) 722-9888
Fax: (803) 656-8135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Clinical & Laboratory Immunology (Internal Medicine) Physician Taxonomy 207RI0001X
Medical Laboratory Technician Taxonomy 246RM2200X

Record details

NPI number1366220758
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConcierge Medical Group LLC
Authorized official Sarah Doctor-Greenwade — Chief Executive Officer · (803) 722-4988
Other names Concierge Medical Lab; Concierge Medical Lab
NPI enumeratedSeptember 18, 2023
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing addressPo Box 23328, Columbia, SC 29224-3328