Executor Diagnostics

LBN: Executor Diagnostics
Executor Diagnostics is an health care organization with primary practice located at 1929 Mountain Laurel Ct # A , Florence SC 29505-6053. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Executor Diagnostics can be contacted via phone (843) 292-1112, or through Mcinville, Susan G via phone (843) 669-5162.

Contact Information

Primary practice address
1929 Mountain Laurel Ct # A Florence SC 29505-6053
Phone: (843) 292-1112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcinville, Susan G
Phone: (843) 669-5162

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X South Carolina

Profile Details

NPI number 1346346954
LBN Legal business name Executor Diagnostics
DBA Doing business as
Authorized official Mcinville, Susan G
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346346954 NPPES
South Carolina MEDICAID L00218

Popular Providers