Adaptive Medical Upstate, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Lyman, SC

NPI 1215049366 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1215049366
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ADAPTIVE MEDICAL UPSTATE, INC.
Practice address
48 Lawrence St
Lyman, SC 29365-1637
Phone
(864) 472-5541
Fax
(864) 472-5564
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

Name
Mr. Greg Tucker
Title
President
Phone
(864) 472-5541

National Provider Directory

Locations

48 Lawrence St
Lyman, SC 29365
Phone (864) 472-5541

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC Yes

Addresses

Primary practice location

48 Lawrence St
Lyman, SC 29365-1637

Mailing address

48 Lawrence St
Lyman, SC 29365-1637
Phone (864) 472-5541

Other identifiers

IdentifierTypeStateIssuer
DME817MedicaidSC

Other providers in Lyman, SC

All providers in Lyman, SC · Durable Medical Equipment & Medical Supplies in South Carolina

Sources for this page

Verify at the official NPI Registry.