Executor Diagnostics

NPI 1346346954 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1346346954
Enumeration Date 09/15/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUSAN G SUSAN
Position BUSINESS SERVICE REPRESENTATIVE
Phone (843) 292-1112
Fax
Practice Location
1929 MOUNTAIN LAUREL CT # A
FLORENCE SC, 29505-6053, US
Phone (843) 292-1112
Fax
Business Location
1929A MOUNTAIN LAUREL CT
FLORENCE SC, 29505-6053, US
Phone (843) 669-5162
Fax (843) 667-4573
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Executor Diagnostics NPI is 1346346954, taxonomy code is 291U00000X Executor Diagnostics physically located at 1929 Mountain Laurel Ct # A, Florence SC, 29505-6053. NPI Number 1033115704 has the healthcare provider type.

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1346346954 NPI number is provided on an as is basis without warranty of any kind. 1346346954 is maintained by the National Plan & Provider Enumeration System. The contents of Executor Diagnostics are for informational purposes only.