C & C Medical Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

C & C MEDICAL LAB, LLC

Practice address

124 Edinburgh CT Ste 109
Greenville, SC 29607-2542

Phone

(864) 412-5051

NPI assigned

Jan 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clytaya Carson, RMANPI 1649865429

Title

Owner/ Operator

Phone

(864) 395-0986

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clytaya Carson, RMA

  • Other Technician
  • Greenville, SC
  • NPI 1649865429
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1003446378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 EDINBURGH CT STE 109",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072542",
            "telephone_number": "864-412-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EDINBURGH CT STE 109",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072542",
            "telephone_number": "864-412-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C MEDICAL LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "CLYTAYA",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "864-395-0986",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Gray Bynum, M.S., CF-SLP
• Alexandra Cowen Byrd, M.A. CCC-SLP
• Sydney Steele Byrd, PMHNP-BC
• Sylvia Regina Byrd
• Jon-Mikel Christopher Byrne, PHARM. D.
• C&M Pro Clean LLC
• Anthony W Caballero, CRNA
• Wyman William Cabaniss, M.D.
• Virginia S Cable, CRNA
• Marlene Cabrera

• Clinical Medical Laboratory in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.