PALMETTO VASCULAR DIAGNOSTIC LLC NPI 1013944206

NPI Information

NPI: 1013944206
Provider Name: PALMETTO VASCULAR DIAGNOSTIC LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2020 MCQUEEN BLVD
ORANGEBURG, SC
ZIP 29118
Phone: (803) 308-1524
Get Directions

PALMETTO VASCULAR DIAGNOSTIC LLC is a diagnostic radiology radiology in Orangeburg, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PALMETTO VASCULAR DIAGNOSTIC LLC NPI is 1013944206. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2020 MCQUEEN BLVD
ORANGEBURG, SC
ZIP 29118-200
Phone: (803) 308-1524
Fax: (803) 937-6520

The provider's authorized official is Robert E Myers .
The authorized official title is Owner and has the following contact phone number (803) 308-1524.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 10/2/2013.

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	2471V0105X	Radiologic Technologist	Vascular Sonography	33630	SOUTH CAROLINA	No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q338290001	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
2	SL0071	MEDICAID	SOUTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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