PALMETTO SLEEP LAB LLC (NPI# 1912564790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912564790 |
| Entity Type | Organization |
| Organization Name | PALMETTO SLEEP LAB LLC |
| Practice Address |
2724 W Palmetto St Ste 12 Florence SC 29501-4909 |
| Mailing Address |
Po Box 1226 Myrtle Beach SC 29578-1226 |
| Practice Telephone | 8434076700 |
| Practice Fax Number | 8434077999 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Authorized Official Name | JERRY MILTON CAPELL (OWNER) |
| Authorized Official Telephone | 8434440880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861632523 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 1087 Redi Mix Rd, Suite 4, Little River, SC 29566-7132 | 2009-02-20 |
| 1497952758 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 4017 Highway 17 Bypass South, Suite 202, Murrells Inlet, SC 29576 | 2007-06-29 |
| 1639284136 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 1705 N Oak St, Suite 8, Myrtle Beach, SC 29577-3580 | 2006-08-21 |
| 1487098794 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 610a Ocean Hwy W, Supply, NC 28462-4048 | 2013-04-18 |
| Street Address |
2724 W PALMETTO ST STE 12 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| 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. |
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| 1598959157 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 101 William H Johnson St Ste 600, Florence, SC 29506-2773 | 2007-08-28 |
| 1346346954 | Executor Diagnostics | Clinical Medical Laboratory | 1929 Mountain Laurel Ct # A, Florence, SC 29505-6053 | 2006-09-15 |
| 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.