Provider Demographics
NPI:1659139822
Name:NUMED DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:NUMED DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PRESCOTT
Authorized Official - Suffix:III
Authorized Official - Credentials:RPH
Authorized Official - Phone:864-585-3850
Mailing Address - Street 1:1360 DRAYTON RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-5104
Mailing Address - Country:US
Mailing Address - Phone:864-585-3850
Mailing Address - Fax:864-582-8497
Practice Address - Street 1:1360 DRAYTON RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-5104
Practice Address - Country:US
Practice Address - Phone:864-585-3850
Practice Address - Fax:864-582-8497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336N0007XSuppliersPharmacyNuclear Pharmacy