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Organization
FAMILY DIAGNOSTICS, LLC
Active
Organization
FAMILY DIAGNOSTICS, LLC
Active
Parent organization
FAMILY DIAGNOSTIC ASSOC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY DIAGNOSTIC ASSOC
Authorized official
HEATHER L WAY (OFFICE ADMINISTRATOR)
(803) 496-7174
Entity
Organization
Contact information
Practice address
922 HOLLY ST, HOLLY HILL, SC 29059-2762
(803) 496-7174
(803) 496-7928
Mailing address
922 HOLLY ST, HOLLY HILL, SC 29059-2762
(803) 496-7174
(803) 496-7928
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L00039
—
SC
05
—
RHC011
—
SC
Enumeration date
07/29/2006
Last updated
02/27/2012
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