Organization
VIBRANT DIAGNOSTICS LLC
Active
Other names
Vibrant Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHIANDRA KEYATA DAVIS (OWNER)
(843) 373-8284
Entity
Organization
Contact information
Practice address
514 2ND LOOP RD STE D, FLORENCE, SC 29505-2848
(843) 373-8284
Mailing address
108 TIMBERLAKE DR, FLORENCE, SC 29501-9309
(843) 373-8284
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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