NPIMap

Organization Active NPI

Forma Medical Solutions LLC

  • Genetics Clinic/Center
  • Darlington, SC
National Provider Identifier
1225697477
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
Legal business name
FORMA MEDICAL SOLUTIONS LLC
Practice address
107 Orange St Apt 202
Darlington, SC 29532-3107
Phone
(843) 536-3375
Fax
(843) 968-9047
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
David Irwin Morrisey
Title
Ceo
Phone
(843) 536-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetics Clinic/Center 261QG0250X Primary

Addresses

Primary practice location

107 Orange St Apt 202
Darlington, SC 29532-3107

Mailing address

107 Orange St Apt 202
Darlington, SC 29532-3107
Phone (843) 536-3375

National Provider Directory

National Provider Directory
Tax ID family
Forma Medical Solutions LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1225697477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ORANGE ST APT 202",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323107",
            "telephone_number": "843-536-3375",
            "fax_number": "843-968-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ORANGE ST APT 202",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323107",
            "telephone_number": "843-536-3375",
            "fax_number": "843-968-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMA MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MORRISEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-536-3375"
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darlington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.