National Provider Identifier Database

DIRECT DIAGNOSTIC SERVICES LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

DIRECT DIAGNOSTIC SERVICES, LLC
4 CARRIAGE LN STE 108
CHARLESTON, SC29407-6048
Phone: 828-396-5634
Fax: 888-818-8707
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for DIRECT DIAGNOSTIC SERVICES, LLC

NPI Number 1801040274
Legal business name
LBN
DIRECT DIAGNOSTIC SERVICES, LLC
Authorized official PAMELA QUEEN - (MEMBER MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/11/2008
Last updated 05/05/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 8105053
  • SC Medicaid: SL0105

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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