Organization
METROLINA NEURODIAGNOSTIC CENTER, LLC
Active
Organization
METROLINA NEURODIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD MANDELL M.D. (PARTNER)
(803) 366-6135
Entity
Organization
Contact information
Practice address
127 PROFESSIONAL PARK BLVD, ROCK HILL, SC 29732-1178
(803) 329-8635
(803) 329-8645
Mailing address
127 PROFESSIONAL PARK BLVD, ROCK HILL, SC 29732-1178
(803) 329-8635
(803) 329-8645
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015KF
—
NC
05
—
GP3790
—
SC
Enumeration date
08/23/2005
Last updated
08/22/2020
Update your record
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