Organization Active NPI

Hilton Head Internists Laboratory

  • Clinical Medical Laboratory
  • Hilton Head, SC
National Provider Identifier
1518097591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HILTON HEAD INTERNISTS LABORATORY
Practice address
35 Bill Fries Dr
Suite J
Hilton Head, SC 29926-2730
Phone
(843) 681-2222
Fax
(843) 681-2541
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Benjamin Robert Trotter, M.D.
Title
Partner
Phone
(843) 681-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X SC Primary

Addresses

Primary practice location

35 Bill Fries Dr
Suite J
Hilton Head, SC 29926-2730

Mailing address

35 Bill Fries Dr
Suite J
Hilton Head, SC 29926-2730
Phone (843) 681-2222

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0942143Hilton Head Internists35 Bill Fries Drive BLDG H, Hilton Head Island, SC 29926Certificate of waiverJul 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hilton Head Internists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

35 Bill Fries Dr
Bldg J
Hilton Head Island, SC 29926
Phone (843) 681-2222

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518097591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "address_2": "SUITE J",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-681-2222",
            "fax_number": "843-681-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "address_2": "SUITE J",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-681-2222",
            "fax_number": "843-681-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD INTERNISTS LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-681-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.