Organization Active NPI

QHG of South Carolina Inc

Doing business as Lab Carolinas

  • Clinical Medical Laboratory
  • Florence, SC
National Provider Identifier
1255857280
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QHG OF SOUTH CAROLINA INC
Doing business as
Lab Carolinas
Practice address
805 Pamplico Hwy
Florence, SC 29505-6047
Phone
(843) 674-2500
Fax
(843) 674-2519
NPI assigned
Aug 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
Michael A Swaw
Title
Director
Phone
(615) 778-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

805 Pamplico Hwy
Florence, SC 29505-6047

Mailing address

PO Box 277631
Atlanta, GA 30384-7631
Phone (843) 674-2500

Other identifiers 1

IdentifierTypeStateIssuer
A00566MedicaidSC

Other names 1

  • Lab Carolinas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Hospital Syst4 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": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1255857280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277631",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847631",
            "telephone_number": "843-674-2500",
            "fax_number": "843-674-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056047",
            "telephone_number": "843-674-2500",
            "fax_number": "843-674-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHG OF SOUTH CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "SWAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-778-8076"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A00566",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lab Carolinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.