Pediatric Innovations

LBN: Pediatric Innovations
Pediatric Innovations is an health care organization with primary practice located at 1401 Saint Andrews Rd Suite 150, Columbia SC 29210-5930. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Pediatric Innovations can be contacted via phone (803) 551-1113, or through Suddarth, Marc Huntley via phone (803) 551-1113.

Contact Information

Primary practice address
1401 Saint Andrews Rd Suite 150 Columbia SC 29210-5930
Phone: (803) 551-1113
Fax: (803) 551-0905
Website:
Map and Directions
Authorized official contact:
Name: Suddarth, Marc Huntley
Phone: (803) 551-1113

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X South Carolina

Profile Details

NPI number 1801878376
LBN Legal business name Pediatric Innovations
DBA Doing business as
Authorized official Suddarth, Marc Huntley
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801878376 NPPES
South Carolina MEDICAID DE1853

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