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MARY BLACK HEALTH SYSTEM LLC NPI 1528075082


NPI Information

NPI: 1528075082
Provider Name: MARY BLACK HEALTH SYSTEM, LLC

Doing Business As: PEACHVIEW PHYSICAL THERAPY

Classification: Specialist/Technologist, Pathology - 246Q00000X
Entity Type: Organization
Address:
138 DILLON DR STE A
SPARTANBURG, SC
ZIP 29307
Phone: (864) 542-8980
Get Directions

MARY BLACK HEALTH SYSTEM, LLC is a specialist technologist pathology in Spartanburg, SC. The provider is (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience. MARY BLACK HEALTH SYSTEM, LLC NPI is 1528075082. The provider is registered as an organization entity type.
The provider Is Doing Business As Peachview Physical Therapy.

The provider's business location address is:

138 DILLON DR STE A
SPARTANBURG, SC
ZIP 29307-018
Phone: (864) 542-8980
Fax: (864) 515-9994

The provider's authorized official is Debbie Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7000.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/14/2007.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2246Q00000XSpecialist/Technologist, PathologyYes

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
15286MEDICARE ID-TYPE UNSPECIFIED

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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