Healthcare Provider Details
I. General information
NPI: 1386524387
Provider Name (Legal Business Name): CARE-NET OF LANCASTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
703 N WHITE ST
LANCASTER SC
29720-2174
US
IV. Provider business mailing address
703 N WHITE ST
LANCASTER SC
29720-2174
US
V. Phone/Fax
- Phone: 803-285-2273
- Fax: 833-973-5638
- Phone: 803-285-2273
- Fax: 833-973-5638
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RANDALL
STEWART
BARRE
Title or Position: CEO
Credential: MD
Phone: 803-465-3608