Organization
THE IMAGING CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON LEE BUNDRICK RVS RCS (PRESIDENT)
(803) 343-2133
Entity
Organization
Contact information
Practice address
2712 MIDDLEBURG DR, SUITE 220, COLUMBIA, SC 29204-2415
(803) 343-2133
(803) 343-2112
Mailing address
6729 LONGBROOK RD, COLUMBIA, SC 29206
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SL0022
—
SC
Enumeration date
02/15/2007
Last updated
04/02/2008
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