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IVERSON GENETIC DIAGNOSTICS INC. NPI 1992998157


NPI Information

NPI: 1992998157
Provider Name: IVERSON GENETIC DIAGNOSTICS, INC.

Doing Business As: IVERSON GENETIC DIAGNOSTICS INC

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
645 MEETING STREET
CHARLESTON, SC
ZIP 29403
Phone: (843) 789-5912
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IVERSON GENETIC DIAGNOSTICS, INC. is a clinical medical laboratory in Charleston, SC. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. IVERSON GENETIC DIAGNOSTICS, INC. NPI is 1992998157. The provider is registered as an organization entity type.
The provider Is Doing Business As Iverson Genetic Diagnostics Inc.

The provider's business location address is:

645 MEETING STREET
CHARLESTON, SC
ZIP 29403
Phone: (843) 789-5912
Fax: (888) 909-9784

The provider's authorized official is Joseph Clouse .
The authorized official title is Ceo and has the following contact phone number (720) 284-7526.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 11/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryMTS-5156WASHINGTONNo
2291U00000XClinical Medical LaboratoryMTSC.FS.600017885WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150D1072592OTHERWASHINGTONCLIA #
250D1083740OTHERWASHINGTONCLIA
37141252MEDICAIDWASHINGTON
4G8873736MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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