LAKESIDE MEDICAL RESPONSE NPI 1811085657

NPI Information

NPI: 1811085657
Provider Name: LAKESIDE MEDICAL RESPONSE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 42D2123449

Address:
1801D W EVANS ST STE 110
FLORENCE, SC
ZIP 29501
Phone: (843) 629-7133
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LAKESIDE MEDICAL RESPONSE is a land transport ambulance in Florence, SC. LAKESIDE MEDICAL RESPONSE NPI is 1811085657. The provider is registered as an organization entity type.

The provider's business location address is:

1801D W EVANS ST STE 110
FLORENCE, SC
ZIP 29501-333
Phone: (843) 629-7133
Fax: (843) 629-7233

The provider's authorized official is Shameeka Mcduffie .
The authorized official title is Owner and has the following contact phone number (843) 629-7133.

The CLIA number assigned to this NPI record is 42D2123449 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	234	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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