Healthcare Provider Details

I. General information

NPI: 1174009245
Provider Name (Legal Business Name): VIKOR SCIENTIFIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 07/21/2022
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 WESTEDGE ST. SUITE 800
CHARLESTON SC
29403-2940
US

IV. Provider business mailing address

22 WESTEDGE ST. SUITE 800
CHARLESTON SC
29403-4277
US

V. Phone/Fax

Practice location:
  • Phone: 854-429-1069
  • Fax: 833-247-4091
Mailing address:
  • Phone: 854-429-1069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateSC

VIII. Authorized Official

Name: SHEA HARRELSON
Title or Position: CO-FOUNDER
Credential:
Phone: 854-429-1069