Active NPI
My Lab
- Clinical Medical Laboratory
- Lexington, SC
National Provider Identifier
1184359143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MY LAB
- Practice address
- 808 Highway 378 Ste B
Lexington, SC 29072-8379 - Phone
- (803) 756-3460
- Fax
- (803) 756-3461
- NPI assigned
- Jul 22, 2022
- Last updated
- Jul 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Hampton Manning, PHARMD
- Title
- Owner
- Phone
- (803) 756-3460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
808 Highway 378 Ste B
Lexington, SC 29072-8379
Mailing address
808 Highway 378 Ste B
Lexington, SC 29072-8379
Phone (803) 756-3460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42D2265053 | Other | SC | CLIA ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@mypharmacyandoptical.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230510002212 | SC | Part B Supplier - Independent Clinical Laboratory | 2769848134 | Practice locations: Lexington, SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Surfside Beach, SC
- NPI 1245651132
-
- Pharmacist
- Columbia, SC
- NPI 1689079915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658448000000",
"number": "1184359143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 HIGHWAY 378 STE B",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290728379",
"telephone_number": "803-756-3460",
"fax_number": "803-756-3461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 HIGHWAY 378 STE B",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290728379",
"telephone_number": "803-756-3460",
"fax_number": "803-756-3461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY LAB",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "HAMPTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-756-3460",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID",
"identifier": "42D2265053",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@mypharmacyandoptical.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "808 Highway 378 Ste B",
"city": "Lexington",
"state": "SC",
"country_code": "US",
"postal_code": "290728379",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.