Direct Diagnostic Services, LLC
NPI 1801040274ActiveOrganization· Physiological Laboratory· Charleston, SC
Physiological Laboratory in Charleston, South Carolina, registered in NPPES in November 2008. The authorized official on file is Pamela R. Queen, Member Manager. Medicare paid $13,326 for services to 57 patients in 2024.
Overview
| NPI | 1801040274 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2008 |
| Last updated in NPPES | May 5, 2021 |
| Certified by provider | May 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | NC |
| Clinic/Center, Radiology | 261QR0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 171 across 2 procedure codes |
| Paid by Medicare | $13,326 |