DIRECT DIAGNOSTIC SERVICES, LLC (NPI# 1801040274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801040274 |
| Entity Type | Organization |
| Organization Name | DIRECT DIAGNOSTIC SERVICES, LLC |
| Practice Address |
1240 Winnowing Way Suite 102 Mt Pleasant SC 29466-2946 |
| Mailing Address |
125 A Wamsutta Mill Road Morganton NC 28655-5522 |
| Practice Telephone | 8284303511 |
| Mailing Telephone | 8284303511 |
| Mailing Fax Number | 8284303513 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | PAMELA R QUEEN (MEMBER MANAGER) |
| Authorized Official Telephone | 8283965634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | NC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8105053 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 A Wamsutta Mill Rd., Morganton, NC 286555522 | 8284303511 | 8283684303 |
| Street Address |
1240 WINNOWING WAY SUITE 102 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29466-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1649498213 | Precise Diagnostics Inc | Physiological Laboratory | 3107 Fareway Ln, Mt Pleasant, TX 75455-6731 | 2007-04-21 |
| 1700233541 | Salterbeck Sleep LLC | Physiological Laboratory | 3400 Salterbeck Ct, 100b, Mt Pleasant, SC 29466-7118 | 2016-05-23 |
| 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 |
| 1225278641 | Charleston Neuroscience Institute | Physiological Laboratory | 590 Lone Tree Drive Ste 101, Mount Pleasant, SC 29464 | 2009-02-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29466 |
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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.