Organization Active NPI

Neuscience Laboratory LLC

  • Clinical Medical Laboratory
  • Greenville, SC
National Provider Identifier
1508307562
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEUSCIENCE LABORATORY LLC
Practice address
25 Airpark CT
Suite 200
Greenville, SC 29607-6188
Phone
(864) 343-0010
Fax
(864) 312-6927
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Michael Brohm
Title
Ceo
Phone
(864) 343-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

25 Airpark CT
Suite 200
Greenville, SC 29607-6188

Mailing address

25 Airpark CT
Suite 200
Greenville, SC 29607-6188
Phone (864) 343-0010

National Provider Directory

National Provider Directory

Locations

25 Airpark Ct
Ste 200
Greenville, SC 29607
Phone (864) 343-0010

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1508307562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 AIRPARK CT",
            "address_2": "SUITE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076188",
            "telephone_number": "864-343-0010",
            "fax_number": "864-312-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 AIRPARK CT",
            "address_2": "SUITE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076188",
            "telephone_number": "864-343-0010",
            "fax_number": "864-312-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUSCIENCE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "BROHM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-343-0010"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.