Active NPI
RSF Mt Pleasant Hospital
- Clinical Medical Laboratory
- Mount Pleasant, SC
National Provider Identifier
1205280658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 42D2013764
- Legal business name
- RSF MT PLEASANT HOSPITAL
- Practice address
- 3500 N Highway 17
Mount Pleasant, SC 29466-9123 - Phone
- (843) 606-7565
- Fax
- (843) 606-7912
- NPI assigned
- Apr 21, 2016
- 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
- Anthony Jackson
- Title
- Ceo
- Phone
- (843) 606-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 42D2013764 | SC | Primary |
Addresses
Primary practice location
3500 N Highway 17
Mount Pleasant, SC 29466-9123
Mailing address
PO Box 602441
Charlotte, NC 28260-2441
Phone (843) 606-7565
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2013764 | RSF Mount Pleasant Hospital Laboratory | Accreditation | Nov 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Baker Hospital Family Med
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
-
- Cardiovascular Disease Physician
- Mt Pleasant, SC
- NPI 1487337333
-
- Cardiovascular Disease Physician
- Mt Pleasant, SC
- NPI 1629499298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461196800000",
"number": "1205280658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602441",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602441",
"telephone_number": "843-606-7565",
"fax_number": "843-606-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N HIGHWAY 17",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294669123",
"telephone_number": "843-606-7565",
"fax_number": "843-606-7912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RSF MT PLEASANT HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-606-1000"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "SC",
"license": "42D2013764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.