NPIMap

Organization Active NPI

Lexington County Health Services District, Inc.

Doing business as Lexington Medical Center Lexington

  • Clinical Medical Laboratory
  • Lexington, SC
National Provider Identifier
1699793182
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Doing business as
Lexington Medical Center Lexington
Practice address
811 West Main Street
Lexington, SC 29072
Phone
(803) 358-6100
Fax
(803) 358-6167
NPI assigned
Jul 17, 2006
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Melinda P Kruzner
Title
Cfo & Sr. VP
Phone
(803) 939-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

811 West Main Street
Lexington, SC 29072

Mailing address

811 West Main Street
Lexington, SC 29072
Phone (803) 358-6100

Other identifiers 1

IdentifierTypeStateIssuer
L00135MedicaidSC

Other names 1

  • Lexington Medical Center Lexington Doing business as

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
42D0248741Sandhills Family Medicine811 West Main Street Suite 204, Lexington, SC 29072Provider-performed microscopySep 18, 2027
42D0990099Lexington Health Lexington811 West Main Street, Lexington, SC 29072AccreditationNov 20, 2026
42D2003509Lexington Health Lexington Cardiac Rehab811 West Main St, Ste 212, Lexington, SC 29072Certificate of waiverFeb 10, 2028
42D2003516Lexington Health Lexington811 West Main St, Lexington, SC 29072Certificate of waiverFeb 10, 2028
42D2087855Lexington Health Lexington Idtf811 West Main Street, Lexington, SC 29072Certificate of waiverDec 4, 2026
42D2308747Lexington Health Heart and Vascular Center-811 W Main Street, Suite 209, Lexington, SC 29072Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Internal Medicine Assoi17 organizations share this tax ID, including this one
Part of
Internal Medicine Assoi

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1699793182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WEST MAIN STREET",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-358-6100",
            "fax_number": "803-358-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WEST MAIN STREET",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-358-6100",
            "fax_number": "803-358-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "KRUZNER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO & SR. VP",
        "authorized_official_telephone_number": "803-939-4577"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L00135",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Medical Center Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.