Tiger Diagnostics Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TIGER DIAGNOSTICS LABORATORY LLC

Practice address

133 Kiowa LN
Piedmont, SC 29673-6751

Phone

(864) 508-0198

NPI assigned

Jun 7, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theodore Swann, MDNPI 1225085699

Title

Partner

Phone

(864) 508-0198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Theodore Swann, MD

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1225085699
  NPD Authorized official
• Alicia Limbaugh Tolbert, M.D.

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1760542948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1356183875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 OLD GREENVILLE HWY",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296313156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 KIOWA LN",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736751",
            "telephone_number": "864-508-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGER DIAGNOSTICS LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "SWANN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "864-508-0198",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Anthony Tanner, M.D.
• The Bright Smile Center, PA
• Janie McKinnon Thomas, PA
• Tommy Douglas Thomason, DC
• Christopher William Tidmarsh, PHARMD
• Donna Gray Tingle, LPC
• Maisel Marilu Treto Gonzalez
• Triad Dental Group (The Bright Smile Center)
• Trinity Pediatric Therapy Group
• Russell Chadwick Trotter, D.C.

• Clinical Medical Laboratory in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.