Whalio Doctors

NPI 1184099046

Braincare, LLC

Organisation Physiological Laboratory Columbia, SC

Practice location

Address
1320 Main St STE 347, Columbia, SC 29201-3204
Phone
(866) 848-2522
Fax
(877) 290-1544
Mailing address
2670 Firewheel Dr STE B, Flower Mound, TX 75028-4601

Authorised official

Name
Janice Shock
Title
Sr Director of Operations
Phone
(214) 532-3757

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1184099046
Entity type
Organization
NPI issued
3 Dec 2015
Record last updated
3 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.