Testing

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

119254555 Issued in SC

Legal business name

TESTING

Doing business as

Contractor
Testing Supplier

Practice address

4100 N Main St Ste 104
Columbia, SC 29203-5800

Phone

(843) 229-5626

Fax

(803) 814-2520

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Chirvella Louise Terry, CONTRACTOR

Title

Technician

Phone

(843) 229-5626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• CONTRACTOR Doing business as
• TESTING SUPPLIER Doing business as

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1497249874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N MAIN ST STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "843-229-5626",
            "fax_number": "803-814-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N MAIN ST STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "843-229-5626",
            "fax_number": "803-814-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CHIRVELLA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "TECHNICIAN",
        "authorized_official_telephone_number": "843-229-5626",
        "authorized_official_credential": "CONTRACTOR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "119254555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACTOR",
            "identifier": "119254555",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONTRACTOR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TESTING SUPPLIER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley James Terry, MD
• Lakeshia Michelle Terry, LPC
• Ledesma Terry
• Sydney Terry, OTD
• Nicole R Tessier, DPT
• Katie Marie Tetanich, PA-C
• Marisa Elizabeth Tetreault
• David Brian Tevepaugh, D.M.D
• Michael Ernest Thacker, DPM
• Ann Truong Thai, DMD

• Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.