Manning Diagnostics LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD13431 Issued in SC

Legal business name

MANNING DIAGNOSTICS LLC

Practice address

202 East Hospital Street
Manning, SC 29102

Phone

(803) 433-2021

Fax

(803) 433-2025

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa K Davis

Title

Billing Manager

Phone

(843) 771-4031

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Alan Piaskowski

  • Body Imaging Physician
  • Mount Pleasant, SC
  • NPI 1962411777
  NPD (past)
• Marshall A White, MD

  • Neurology Physician
  • Mt Pleasant, SC
  • NPI 1801853783

  Specialist

  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1801979810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 EAST HOSPITAL STREET",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-433-2021",
            "fax_number": "803-433-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 EAST HOSPITAL STREET",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-433-2021",
            "fax_number": "803-433-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNING DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "843-771-4031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "MD13431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mack, M.H.P, M.A.
• Antonia Martina Madera
• Christopher Mahr, MD
• Manning Dental Associates
• Manning Diagnostics LLC
• Manning Pharmacy,Inc
• Manning Primary Care LLC
• Martin'S Place
• James Victor Mathis Jr., PHARM.D.
• Aaliyah Gayle McCall

• All providers in Manning, SC
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.