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Organization

IDI BILLING SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MCLAUGHLIN BS (MANAGER)
(757) 305-7153
Entity
Organization

Contact information

Practice address
1855 WAX MYRTLE DR, FLORENCE, SC 29501-6491
(843) 687-6843
Mailing address
PO BOX 7003, FLORENCE, SC 29502-7003
(843) 687-6843

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
NC
341600000X
Ambulance
Primary
SC
3416L0300X
Land Ambulance
NC
3416L0300X
Land Ambulance
SC
343900000X
Non-emergency Medical Transport (VAN)
NC
343900000X
Non-emergency Medical Transport (VAN)
SC
347E00000X
Transportation Broker
SC

Other

Enumeration date
06/13/2012
Last updated
06/13/2012
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