EXECUTOR DIAGNOSTICS

FLORENCE, SC
NPI1346346954
Entity TypeOrganization
Authorized ContactSUSAN G MCINVILLE
Business Service Representative
843-669-5162
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2006-09-15
Last Update Date2008-04-20
Business Address
EXECUTOR DIAGNOSTICS
1929 MOUNTAIN LAUREL CT # A
FLORENCE, SC 29505-6053
Phone number: 843-292-1112
Mailing Address
EXECUTOR DIAGNOSTICS
1929A MOUNTAIN LAUREL CT
FLORENCE, SC 29505-6053
Phone number: 843-669-5162