Organization Active NPI

Kiyatec, Inc

  • Clinical Medical Laboratory
  • Greenville, SC
National Provider Identifier
1689262396
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KIYATEC, INC
Practice address
2 N Main St Ste 167
Greenville, SC 29601-4874
Phone
(864) 502-2013
Fax
(864) 502-2548
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Eric Perreault
Title
President/Ceo
Phone
(864) 412-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2 N Main St Ste 167
Greenville, SC 29601-4874

Mailing address

2 N Main St
Greenville, SC 29601-4874
Phone (864) 502-2013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026002999 SC Part B Supplier - Independent Clinical Laboratory 9335515709 Practice locations: Greenville, SC

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
42D2130169Kiyatec, Inc2 North Main Street, Suite 167, Greenville, SC 29601AccreditationApr 15, 2027

National Provider Directory

National Provider Directory

Locations

900 W Faris Rd
#B
Greenville, SC 29605

2 N Main St
Greenville, SC 29601
Phone (864) 502-2013

2 N Main St
Ste 167
Greenville, SC 29601
Phone (864) 502-2013

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1689262396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014874",
            "telephone_number": "864-502-2013",
            "fax_number": "864-502-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST STE 167",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014874",
            "telephone_number": "864-502-2013",
            "fax_number": "864-502-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIYATEC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "PERREAULT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "864-412-4151"
    },
    "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 Jun 18, 2025; 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.