Organization Active NPI

Essential Diagnostics PA

  • Specialist
  • Columbia, SC
National Provider Identifier
1063660991
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ESSENTIAL DIAGNOSTICS PA
Practice address
141-F Pelham Dr
Suite 119
Columbia, SC 29209
Phone
(803) 223-9406
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Reidman, DO
Title
President
Phone
(803) 223-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

141-F Pelham Dr
Suite 119
Columbia, SC 29209

Mailing address

4611 Hard Scrabble Rd Ste 109
PMB# 330
Columbia, SC 29229-9499
Phone (803) 223-9406

National Provider Directory

National Provider Directory

Locations

141 Pelham Dr
Ste 119
Columbia, SC 29209
Phone (803) 223-9406

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1063660991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 HARD SCRABBLE RD STE 109",
            "address_2": "PMB# 330",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299499",
            "telephone_number": "803-223-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141-F PELHAM DR",
            "address_2": "SUITE 119",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29209",
            "telephone_number": "803-223-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DIAGNOSTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "REIDMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-223-9406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.