Provider Demographics
NPI:1568586840
Name:ASAP 1 INC
Entity Type:Organization
Organization Name:ASAP 1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBA
Authorized Official - Middle Name:
Authorized Official - Last Name:REVAN
Authorized Official - Suffix:
Authorized Official - Credentials:CST
Authorized Official - Phone:803-240-2942
Mailing Address - Street 1:241 DEAN RD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-7451
Mailing Address - Country:US
Mailing Address - Phone:803-240-2942
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:241 DEAN RD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-7451
Practice Address - Country:US
Practice Address - Phone:803-240-2942
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty