Provider Demographics
NPI:1235536087
Name:REGISTERED PORTABLE MONITORING LLC
Entity Type:Organization
Organization Name:REGISTERED PORTABLE MONITORING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-224-0568
Mailing Address - Street 1:768 TRAVELERS BLVD
Mailing Address - Street 2:102
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8940
Mailing Address - Country:US
Mailing Address - Phone:843-771-0220
Mailing Address - Fax:843-376-7989
Practice Address - Street 1:768 TRAVELERS BLVD
Practice Address - Street 2:102
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8940
Practice Address - Country:US
Practice Address - Phone:843-771-0220
Practice Address - Fax:843-376-7989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty