Organization
PALMETTO SLEEP LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON CAPELL (OWNER)
(843) 444-0800
Entity
Organization
Contact information
Practice address
1087 REDI MIX RD, SUITE 4, LITTLE RIVER, SC 29566-7132
(843) 390-5122
(843) 390-5133
Mailing address
P O BOX 1226, MYRTLE BEACH, SC 29588
(843) 390-5122
(843) 390-5133
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PL0073
—
SC
Enumeration date
02/20/2009
Last updated
05/28/2019
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