Provider Demographics
NPI:1952470593
Name:BIOPSY DIAGNOSTICS, P.C.
Entity Type:Organization
Organization Name:BIOPSY DIAGNOSTICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-384-5088
Mailing Address - Street 1:49 BROWNS COVE RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936-8182
Mailing Address - Country:US
Mailing Address - Phone:843-379-2939
Mailing Address - Fax:
Practice Address - Street 1:49 BROWNS COVE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-8182
Practice Address - Country:US
Practice Address - Phone:843-379-2939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory