Organization Active NPI

RSF Mt Pleasant Hospital

  • Clinical Medical Laboratory
  • Mount Pleasant, SC
National Provider Identifier
1205280658
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
42D2013764 Issued in SC
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

Updated by the provider on Apr 21, 2016

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2013764RSF Mount Pleasant Hospital Laboratory3500 Highway 17N, Mount Pleasant, SC 29466AccreditationNov 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Baker Hospital Family Med4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.