Provider Demographics
NPI:1811908536
Name:LUNG CENTER LLC
Entity type:Organization
Organization Name:LUNG CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAYRIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-285-8333
Mailing Address - Street 1:1228 COLONIAL COMMONS
Mailing Address - Street 2:SUITE 231
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-6251
Mailing Address - Country:US
Mailing Address - Phone:803-285-8333
Mailing Address - Fax:803-285-8647
Practice Address - Street 1:1228 COLONIAL COMMONS CT
Practice Address - Street 2:SUITE 231
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2200
Practice Address - Country:US
Practice Address - Phone:803-285-8333
Practice Address - Fax:803-285-8647
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUNG CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-10
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN09616Medicaid
SCG75358Medicare UPIN
SCN09616Medicaid