# FAMILY DIAGNOSTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY DIAGNOSTIC ASSOC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932113230
- **Legal business name:** FAMILY DIAGNOSTIC ASSOC
- **Authorized official:** HEATHER L WAY (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (803) 496-7174

## Contact information

- **Practice address:** 922 HOLLY ST, HOLLY HILL, SC 29059-2762
- **Practice address phone:** (803) 496-7174
- **Practice address fax:** (803) 496-7928
- **Mailing address:** 922 HOLLY ST, HOLLY HILL, SC 29059-2762
- **Mailing address phone:** (803) 496-7174
- **Mailing address fax:** (803) 496-7928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 02/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | L00039 | — | SC |
| 05 | — | RHC011 | — | SC |