Active NPI
Ensight Laboratories, LLC
- Clinical Medical Laboratory
- Blythewood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ENSIGHT LABORATORIES, LLC
- Practice address
- 622 Coyote LN
Blythewood, SC 29016-9258 - Phone
- (843) 845-2596
- NPI assigned
- Feb 11, 2022
- Last updated
- Dec 20, 2024
- 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
- Subrata Yorell Alford, MSN. RN
- Title
- Owner/ Director
- Phone
- (843) 845-2596
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 | Primary |
Addresses
Primary practice location
622 Coyote LN
Blythewood, SC 29016-9258
Mailing address
622 Coyote LN
Blythewood, SC 29016-9258
Phone (843) 845-2596
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 |
|---|---|---|---|
| 42D2252311 | Ensight Laboratories, LLC | Certificate of waiver | Feb 9, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1588316533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734652800000",
"number": "1215682851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 COYOTE LN",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169258",
"telephone_number": "843-845-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 COYOTE LN",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169258",
"telephone_number": "843-845-2596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENSIGHT LABORATORIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A",
"authorized_official_last_name": "ALFORD",
"authorized_official_first_name": "SUBRATA",
"authorized_official_middle_name": "YORELL",
"authorized_official_title_or_position": "OWNER/ DIRECTOR",
"authorized_official_telephone_number": "843-845-2596",
"authorized_official_credential": "MSN. RN"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.