Celligent Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CELLIGENT DIAGNOSTICS, LLC

Practice address

106 Venture Blvd
Spartanburg, SC 29306-3805

Phone

(704) 973-5500

Fax

(704) 973-5518

NPI assigned

Dec 9, 2008

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alfred W. Campbell, MDNPI 1982603015

Title

President

Phone

(704) 973-5500

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Celligent Diagnostics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Celligent Diagnostics, LLC

  • Clinical Medical Laboratory
  • Charlotte, NC
  • NPI 1316401375
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfred Wray Campbell, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Spartanburg, SC
  • NPI 1982603015
  Authorized official Same address or phone

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1093950859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96786",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282966786",
            "telephone_number": "704-973-5500",
            "fax_number": "704-973-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 VENTURE BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063805",
            "telephone_number": "704-973-5500",
            "fax_number": "704-973-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELLIGENT DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-973-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L00681",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Cato, LMSW
• Charles Paul Catron, M.D.,
• Angela K Caudill, AGACNP
• Raul Ceballos Jr., MD
• Cedar Spring Family Dentistry
• Center for Neurology Care LLC
• Centerwell Senior Primary Care (SC) PC (CenterWell Senior Primary Care- Spartanburg)
• Bradley Mark Ceremuga, D.O.
• Certified Caregivers-Spartanburg
• Virginia Parker Ceva, RPH

• Clinical Medical Laboratory in Spartanburg, SC
• Providers in Spartanburg, 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 Nov 18, 2024; 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.