Provider Demographics
NPI:1841531928
Name:POPE DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:POPE DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DWAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:803-807-9533
Mailing Address - Street 1:PO BOX 292158
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-0036
Mailing Address - Country:US
Mailing Address - Phone:803-807-9533
Mailing Address - Fax:877-903-1383
Practice Address - Street 1:101 RICE BENT WAY
Practice Address - Street 2:SUITE 12
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-6849
Practice Address - Country:US
Practice Address - Phone:803-807-9533
Practice Address - Fax:877-903-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty