| Vibrant Diagnostics LLC | |
|
514 2nd Loop Rd Ste D Florence SC 29505-2848 | |
| (843) 373-8284 | |
| Not Available |
| Full Name | Vibrant Diagnostics LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 514 2nd Loop Rd Ste D, Florence, South Carolina |
| Authorized Official Name and Position | Shiandra Keyata Davis (OWNER) |
| Authorized Official Contact | 8433738284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Diagnostics LLC 108 Timberlake Dr Florence SC 29501-9309 Ph: (843) 373-8284 | Vibrant Diagnostics LLC 514 2nd Loop Rd Ste D Florence SC 29505-2848 Ph: (843) 373-8284 |
| NPI Number | 1962133272 |
|---|---|
| Provider Enumeration Date | 06/19/2022 |
| Last Update Date | 06/19/2022 |
| Certification Date | 06/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962133272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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