Organization
CAROLINA DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A ALLEN RVT, RDCS (OWNER/CHIEF TECH)
(803) 758-6003
Entity
Organization
Contact information
Practice address
1701 DEVONSHIRE DR, SUITE 102, COLUMBIA, SC 29204-2404
(803) 758-6003
(803) 758-5993
Mailing address
1701 DEVONSHIRE DR, SUITE 102, COLUMBIA, SC 29204-2404
(803) 758-6003
(803) 758-5993
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SL0032
—
SC
Enumeration date
06/14/2006
Last updated
05/21/2008
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