EXECUTOR DIAGNOSTICS (NPI# 1346346954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346346954 |
| Entity Type | Organization |
| Organization Name | EXECUTOR DIAGNOSTICS |
| Practice Address |
1929 Mountain Laurel Ct # A Florence SC 29505-6053 |
| Mailing Address |
1929a Mountain Laurel Ct Florence SC 29505-6053 |
| Practice Telephone | 8432921112 |
| Mailing Telephone | 8436695162 |
| Mailing Fax Number | 8436674573 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | SUSAN G MCINVILLE JR. (BUSINESS SERVICE REPRESENTATIVE) |
| Authorized Official Telephone | 8436695162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | SC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | L00218 | 05 |
| Street Address |
1929 MOUNTAIN LAUREL CT # A |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897123 | Labs Plus, LLC | Clinical Medical Laboratory | 2701 Mall Dr Ste 7204, Florence, AL 35630-7502 | 2020-09-29 |
| 1912564790 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 2724 W Palmetto St Ste 12, Florence, SC 29501-4909 | 2019-05-28 |
| 1356657126 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 2105 Florence Blvd, Florence, AL 35630-2853 | 2010-08-31 |
| 1598959157 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 101 William H Johnson St Ste 600, Florence, SC 29506-2773 | 2007-08-28 |
| 1790727923 | Lister Healthcare Corporation | Clinical Medical Laboratory | 2805 W Mall Dr, Florence, AL 35630-1563 | 2006-06-12 |
| 1558337212 | Florence Pathology Services LLC | Clinical Medical Laboratory | 1701 Veterans Dr, Florence, AL 35630-4928 | 2006-02-23 |
| 1750366753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1508a N Cashua Dr, Florence, SC 29501-6970 | 2005-12-13 |
| 1700867942 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1122 Bradshaw Dr, Florence, AL 35630-1438 | 2005-11-07 |
| 1255857280 | Qhg of South Carolina Inc | Clinical Medical Laboratory | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-08-22 |
| 1801244017 | Alternative Wellness Center | Clinical Medical Laboratory | 531 W Evans St, Suite B, Florence, SC 29501-3407 | 2016-05-27 |
| Find all providers in FLORENCE | ||||
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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.