Direct Diagnostic Services, Llc

LBN: Direct Diagnostic Services, Llc
Direct Diagnostic Services, Llc is an health care organization with primary practice located at 4 Carriage Ln Ste 108 , Charleston SC 29407-6048. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty. Direct Diagnostic Services, Llc can be contacted via phone (828) 396-5634, or through Queen, Pamela R via phone (828) 396-5634.

Contact Information

Primary practice address
4 Carriage Ln Ste 108 Charleston SC 29407-6048
Fax: (888) 818-8707
Website:
Authorized official contact:
Name: Queen, Pamela R

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X
Laboratories / Physiological Laboratory 293D00000X North Carolina

Profile Details

NPI number 1801040274
LBN Legal business name Direct Diagnostic Services, Llc
DBA Doing business as
Authorized official Queen, Pamela R
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2008
Last updated May 5th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801040274 NPPES
North Carolina MEDICAID 8105053
North Carolina MEDICAID SL0105

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