Provider Demographics
NPI:1326177668
Name:ION MEDICAL SYSTEMS
Entity Type:Organization
Organization Name:ION MEDICAL SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIRONG
Authorized Official - Middle Name:S
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-884-6048
Mailing Address - Street 1:1092 JOHNNIE DODDS BLVD
Mailing Address - Street 2:SUIT A-2
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-6109
Mailing Address - Country:US
Mailing Address - Phone:561-542-4927
Mailing Address - Fax:843-884-6048
Practice Address - Street 1:1092 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUIT A-2
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6109
Practice Address - Country:US
Practice Address - Phone:561-542-4927
Practice Address - Fax:843-884-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies