National Provider Identifier Database

PALMETTO VASCULAR DIAGNOSTIC LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

PALMETTO VASCULAR DIAGNOSTIC LLC
2020 MCQUEEN BLVD
ORANGEBURG, SC29118-1200
Phone: 803-308-1524
Fax: 803-937-6520
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Vascular Sonography Radiologic Technologist 2471V0105X

* Indicates primary specialty

NPI Profile & details for PALMETTO VASCULAR DIAGNOSTIC LLC

NPI Number 1013944206
Legal business name
LBN
PALMETTO VASCULAR DIAGNOSTIC LLC
Authorized official ROBERT MYERS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/26/2006
Last updated 10/02/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 33630
  • SC Medicaid: SL0071

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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