Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Roper St Francis Physician Partners Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R. OLIVERIO (VP/CEO RSFPP)
(843) 724-2903
Entity
Organization
Contact information
Practice address
4450 LEEDS PLACE WEST, SUITE A, NORTH CHARLESTON, SC 29405
(843) 763-2611
(843) 852-4099
Mailing address
PO BOX 603379, CHARLOTTE, NC 28260-3379
(888) 258-9186
(843) 269-2186
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D0250660
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065
TRICARE SUFFIX
SC
01
—
068
BCBSSC SUFFIX
SC
01
—
086
BLUECHOICE SUFFIX
SC
01
—
614387326
DEPT OF LABOR - FECA/ENERGY/BLACK LUNG
SC
01
—
DP0704
RAILROAD MEDICARE GROUP PTAN
SC
05
—
L00271
—
SC
Enumeration date
04/27/2009
Last updated
11/27/2023
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