Provider Demographics
NPI:1073508446
Name:BIOWATCH MEDICAL INC
Entity Type:Organization
Organization Name:BIOWATCH MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CLINICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-233-0244
Mailing Address - Street 1:1233 WASHINGTON ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3221
Mailing Address - Country:US
Mailing Address - Phone:803-233-0244
Mailing Address - Fax:803-339-1871
Practice Address - Street 1:1233 WASHINGTON ST
Practice Address - Street 2:SUITE 400
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3221
Practice Address - Country:US
Practice Address - Phone:803-233-0244
Practice Address - Fax:803-339-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00357097OtherRAILROAD
SCPL0092, GP5182Medicaid
SCP00357097OtherRAILROAD