Provider Demographics
NPI:1467738468
Name:ARTERIAL HEALTH OF SC, LLC
Entity Type:Organization
Organization Name:ARTERIAL HEALTH OF SC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-812-5396
Mailing Address - Street 1:1201 MAIN ST
Mailing Address - Street 2:SUITE 1980
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3200
Mailing Address - Country:US
Mailing Address - Phone:803-748-1332
Mailing Address - Fax:
Practice Address - Street 1:1201 MAIN ST
Practice Address - Street 2:SUITE 1980
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3200
Practice Address - Country:US
Practice Address - Phone:803-748-1332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory