Palmetto Southern Comfort Diagnostics (PSC Diagnostics)

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PALMETTO SOUTHERN COMFORT DIAGNOSTICS (PSC DIAGNOSTICS)

Practice address

6941 N Trenholm Rd Ste I
Columbia, SC 29206-1730

Phone

(803) 369-2133

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Rolanda L GoodwinNPI 1093290793

Title

Owner

Phone

(803) 369-2133

Specialties & licenses 1

Addresses

Other names 1

• PSC Mobile Lab Doing business as

Electronic endpoints 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rolanda L Goodwin, LTC ADMINISTRATOR

  • Home Health Aide
  • Columbia, SC
  • NPI 1093290793
  NPD Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1700547973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 N TRENHOLM RD STE I",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061730",
            "telephone_number": "803-369-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 N TRENHOLM RD STE I",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061730",
            "telephone_number": "803-369-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SOUTHERN COMFORT DIAGNOSTICS (PSC DIAGNOSTICS)",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ROLANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-369-2133"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@psctesting.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3031 Scotsman Rd Ste 16",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292231812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PSC Mobile Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PSC Mobile Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Health Service Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.