Active NPI
Ruth Olivia Govan, MA
- Clinical Laboratory Director (Non-physician)
- North Charleston, SC
National Provider Identifier
1023754603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- Practice address
- 7950 Crossroads Dr Apt 113
North Charleston, SC 29406-9411 - Phone
- (854) 444-9973
- NPI assigned
- May 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | |||
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | Primary | ||
| Phlebotomy Technician | 246RP1900X | SC |
Addresses
Primary practice location
7950 Crossroads Dr Apt 113
North Charleston, SC 29406-9411
Mailing address
7950 Crossroads Dr Apt 113
North Charleston, SC 29406-9411
Phone (854) 444-9973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629724372 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | General@swiftdiagnostic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swift Diagnostic Testing | Current | Accepting new patients |
Interoperability endpoints
- general@swiftdiagnostic.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- North Charleston, SC
- NPI 1629724372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651881600000",
"number": "1023754603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 CROSSROADS DR APT 113",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069411",
"telephone_number": "854-444-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 CROSSROADS DR APT 113",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069411",
"telephone_number": "854-444-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOVAN",
"first_name": "RUTH",
"middle_name": "OLIVIA",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-07",
"last_updated": "2022-05-07",
"certification_date": "2022-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": true
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629724372",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "General@swiftdiagnostic.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7950 Crossroads Dr Apt 113",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294069414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.