Vibrant Diagnostics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VIBRANT DIAGNOSTICS LLC

Doing business as

Vibrant Diagnostics LLC

Practice address

514 2ND Loop Rd Ste D
Florence, SC 29505-2848

Phone

(843) 373-8284

NPI assigned

Jun 19, 2022

Organization subpart

No

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

Authorized official

Name

Shiandra Keyata DavisNPI 1366004319

Title

Owner

Phone

(843) 373-8284

Specialties & licenses 1

Addresses

Other names 1

• Vibrant Diagnostics LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shiandra Keyata Davis

  • Home Health Aide
  • Florence, SC
  • NPI 1366004319
  NPD Authorized official

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655596800000",
    "number": "1962133272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TIMBERLAKE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295019309",
            "telephone_number": "843-373-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 2ND LOOP RD STE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052848",
            "telephone_number": "843-373-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-19",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHIANDRA",
        "authorized_official_middle_name": "KEYATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-373-8284"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Diagnostics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gretchen Vergara
• Philip L Verjans, PT
• Oorja Verma, M.D.
• Nathan Thomas Vernon
• Veteran Village Pharmacy
• Vicki Chung DMD, PC
• Jacob Scott Vining, DO
• Virtuous Primary Care
• Visionworks, Inc. (Visionworks)
• W Wallace Vaught Jr MD PC

• Clinic/Center in Florence, SC
• Providers in Florence, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; 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.