NPIMap

Organization Active NPI

University of South Carolina School of Medicine

  • Clinical Medical Laboratory
  • Columbia, SC
National Provider Identifier
1497040802
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
G28417 Issued in ZZ
Legal business name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Practice address
6439 Garners Ferry Rd
BLDG 1, B33
Columbia, SC 29209-1638
Phone
(803) 216-3406
Fax
(803) 216-3413
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Dr. Mitzi Nagarkatti, PHD
Title
Chair of Path, Micro, and Immuno
Phone
(803) 216-3404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X G28417 ZZ Primary

Addresses

Primary practice location

6439 Garners Ferry Rd
BLDG 1, B33
Columbia, SC 29209-1638

Mailing address

6439 Garners Ferry Rd
BLDG 1, B33
Columbia, SC 29209-1638
Phone (803) 216-3406

Other identifiers 1

IdentifierTypeStateIssuer
ZCS92995755OtherSCSTATE HEALTH PLAN

National Provider Directory

National Provider Directory
Tax ID family
University of South Carolina System12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

6439 Garners Ferry Rd
Bldg 1
Columbia, SC 29209
Phone (803) 216-3406

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/685fe42d-fc55-43db-9f82-d66c673ec539/

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1497040802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 GARNERS FERRY RD",
            "address_2": "BLDG 1, B33",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091638",
            "telephone_number": "803-216-3406",
            "fax_number": "803-216-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 GARNERS FERRY RD",
            "address_2": "BLDG 1, B33",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091638",
            "telephone_number": "803-216-3406",
            "fax_number": "803-216-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "NAGARKATTI",
        "authorized_official_first_name": "MITZI",
        "authorized_official_title_or_position": "CHAIR OF PATH, MICRO, AND IMMUNO",
        "authorized_official_telephone_number": "803-216-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ZZ",
            "license": "G28417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HEALTH PLAN",
            "identifier": "ZCS92995755",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.