Executor Diagnostics
NPI #1346346954 in Florence, South Carolina
Provider Information
- NPI Number
- 1346346954
- Entity Type
- Organization
- Organization Name
- Executor Diagnostics
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 1929 MOUNTAIN LAUREL CT # A
- City
- Florence
- State
- South Carolina
- ZIP Code
- 29505-6053
- Phone
- (843) 292-1112
Authorized Official
- Name
- SUSAN G MCINVILLE JR.
- Title
- BUSINESS SERVICE REPRESENTATIVE
- Phone
- (843) 669-5162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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