Active NPI
Kiyatec, Inc
- Clinical Medical Laboratory
- Greenville, SC
National Provider Identifier
1689262396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221026002999 | SC | Part B Supplier - Independent Clinical Laboratory | 9335515709 | Practice locations: Greenville, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2130169 | Kiyatec, Inc | Accreditation | Apr 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.