CHARLESTON NEUROSCIENCE INSTITUTE (NPI# 1225278641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225278641 |
| Entity Type | Organization |
| Organization Name | CHARLESTON NEUROSCIENCE INSTITUTE |
| Other Organization Name | CHARLESTON SLEEP LLC |
| Practice Address |
590 Lone Tree Drive Ste 101 Mount Pleasant SC 29464 |
| Practice Telephone | 8432167144 |
| Practice Fax Number | 8432167145 |
| Mailing Telephone | 8432167144 |
| Mailing Fax Number | 8432167145 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-05-07 |
| Authorized Official Name | DR. ERIC JABLON (PARTNER) |
| Authorized Official Telephone | 8432167144 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHARLESTON NEUROSCIENCE INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4411 | 05 |
| Other Name | Type Code |
|---|---|
| CHARLESTON SLEEP LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497078125 | Charleston Neuroscience Institute | Durable Medical Equipment & Medical Supplies | 590 Lone Tree Dr, Ste. 102, Mount Pleasant, SC 29464-8170 | 2010-03-09 |
| Street Address |
590 LONE TREE DRIVE STE 101 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609437961 | Tidelands Health Market Common LLC | Physiological Laboratory | 2200 Crow Ln Ste 103, Myrtle Beach, SC 29577-1663 | 2019-06-26 |
| 1780113324 | Carolinas Imaging Services LLC | Physiological Laboratory | 1656 Riverchase Blvd Ste 1600, Rock Hill, SC 29732-1984 | 2017-06-07 |
| 1184099046 | Braincare, LLC | Physiological Laboratory | 1320 Main St Ste 347, Columbia, SC 29201-3204 | 2015-12-03 |
| 1114318813 | Palmetto Diagnostics, LLC | Physiological Laboratory | 1060 Chris Cir, Suite D, West Columbia, SC 29169-4773 | 2015-02-17 |
| 1568734614 | The Hark Group, LLC | Physiological Laboratory | 52 Golden Spur Ln, Blythewood, SC 29016-7600 | 2012-02-06 |
| 1255654877 | Atlantic Sleep Disorders Center LLC | Physiological Laboratory | 9657 S Ocean Hwy 17, Ste 4b, Pawleys Island, SC 29585-7425 | 2010-03-10 |
| 1619117678 | Charleston Neuroscience Institute LLC | Physiological Laboratory | 9551 Hwy 78, Bldg 700 Suite 103, Ladson, SC 29406 | 2009-03-03 |
| 1558304824 | Carolina Diagnostics, LLC | Physiological Laboratory | 1701 Devonshire Dr, Suite 102, Columbia, SC 29204-2404 | 2006-06-14 |
| 1528017415 | Diagnostic Health Corporation | Physiological Laboratory | 1 Cannon Dr, Greenville, SC 29605-4201 | 2006-05-08 |
| 1174572069 | Diagnostic Health Center of Hilton Head LLC | Physiological Laboratory | 13 Lamotte Dr, Hilton Head Island, SC 29926-2743 | 2006-05-08 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.