PALMETTO DIAGNOSTICS, LLC (NPI# 1114318813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114318813 |
| Entity Type | Organization |
| Organization Name | PALMETTO DIAGNOSTICS, LLC |
| Practice Address |
1060 Chris Cir Suite D West Columbia SC 29169-4773 |
| Practice Telephone | 8032170105 |
| Practice Fax Number | 8037967846 |
| Mailing Telephone | 8032170105 |
| Mailing Fax Number | 8037967846 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | MARIA VIGGIANO DENT (INSURANCE MANAGER) |
| Authorized Official Telephone | 8037967840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414426 | Palmetto Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 222 Creek Stone Dr, West Monroe, LA 71291-0709 | 2019-02-26 |
| Street Address |
1060 CHRIS CIR SUITE D |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| 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. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609437961 | Tidelands Health Market Common LLC | Physiological Laboratory | 2200 Crow Ln Ste 103, Myrtle Beach, SC 29577-1663 | 2019-06-26 |
| 1780113324 | Carolinas Imaging Services LLC | Physiological Laboratory | 1656 Riverchase Blvd Ste 1600, Rock Hill, SC 29732-1984 | 2017-06-07 |
| 1184099046 | Braincare, LLC | Physiological Laboratory | 1320 Main St Ste 347, Columbia, SC 29201-3204 | 2015-12-03 |
| 1568734614 | The Hark Group, LLC | Physiological Laboratory | 52 Golden Spur Ln, Blythewood, SC 29016-7600 | 2012-02-06 |
| 1255654877 | Atlantic Sleep Disorders Center LLC | Physiological Laboratory | 9657 S Ocean Hwy 17, Ste 4b, Pawleys Island, SC 29585-7425 | 2010-03-10 |
| 1619117678 | Charleston Neuroscience Institute LLC | Physiological Laboratory | 9551 Hwy 78, Bldg 700 Suite 103, Ladson, SC 29406 | 2009-03-03 |
| 1225278641 | Charleston Neuroscience Institute | Physiological Laboratory | 590 Lone Tree Drive Ste 101, Mount Pleasant, SC 29464 | 2009-02-25 |
| 1558304824 | Carolina Diagnostics, LLC | Physiological Laboratory | 1701 Devonshire Dr, Suite 102, Columbia, SC 29204-2404 | 2006-06-14 |
| 1528017415 | Diagnostic Health Corporation | Physiological Laboratory | 1 Cannon Dr, Greenville, SC 29605-4201 | 2006-05-08 |
| 1174572069 | Diagnostic Health Center of Hilton Head LLC | Physiological Laboratory | 13 Lamotte Dr, Hilton Head Island, SC 29926-2743 | 2006-05-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.