Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Roper St. Francis Physician Partners Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT OLIVERIO (VP/CEO RSFPP)
(843) 789-1665
Entity
Organization
Contact information
Practice address
912 INLET SQUARE DR, SUITE B, MURRELLS INLET, SC 29576
(843) 651-4111
(843) 651-1047
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
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169
BCBS SC AND BLUECHOICE
SC
01
—
191
TRICARE SUFFIX
SC
01
—
DP0704
RR MEDICARE PTAN
SC
05
—
L00339
—
SC
Enumeration date
02/06/2012
Last updated
07/03/2018
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