| NAME |
AIKEN CBOC |
| STATE |
SOUTH CAROLINA |
| STREET ADDR. 1 |
951 MILLBROOK AVE |
| CITY |
AIKEN |
| ZIP |
29803-0602 |
| OFFICIAL VA NAME |
AIKEN CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
AIKEN VA CLINIC |
| ST. ADDR. 1 (MAILING) |
951 MILLBROOK AVE |
| CITY (MAILING) |
AIKEN |
| STATE (MAILING) |
SOUTH CAROLINA |
| ZIP (MAILING) |
29803-0602 |
| EFFECTIVE DATE/TIME |
-
- 2008-03-21 00:00:00
- STATUS: ACTIVE
- NPI: 1306014113
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
509GB |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 42D1079917
|
