Provider Demographics
NPI:1174784276
Name:WARP SERVICES, LLC
Entity type:Organization
Organization Name:WARP SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LARIVE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:803-548-8760
Mailing Address - Street 1:817 STOCKBRIDGE DR
Mailing Address - Street 2:210
Mailing Address - City:TEGA CAY
Mailing Address - State:SC
Mailing Address - Zip Code:29708-7233
Mailing Address - Country:US
Mailing Address - Phone:803-548-8760
Mailing Address - Fax:413-541-7742
Practice Address - Street 1:2132 CAROLINA PLACE DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6983
Practice Address - Country:US
Practice Address - Phone:803-548-8760
Practice Address - Fax:413-541-7742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment