Healthcare Provider Details

I. General information

NPI: 1962333831
Provider Name (Legal Business Name): C & C DIAGNOSTICS AND TESTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3656 S IRBY ST UNIT F
FLORENCE SC
29505-5225
US

IV. Provider business mailing address

3005 SKYLARK DR # 29501
FLORENCE SC
29501-6216
US

V. Phone/Fax

Practice location:
  • Phone: 843-624-4647
  • Fax:
Mailing address:
  • Phone: 843-624-4647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CAROLYN GIBSON GILBERT
Title or Position: OWNER
Credential:
Phone: 843-624-4647