Active NPI
Alternative Wellness Center
Doing business as AWC Lab
- Clinical Medical Laboratory
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ALTERNATIVE WELLNESS CENTER
- Doing business as
- AWC Lab
- Practice address
- 531 W Evans St
Suite B
Florence, SC 29501-3407 - Phone
- (843) 669-2295
- Fax
- (843) 664-1109
- NPI assigned
- May 27, 2016
- Last updated
- Jun 3, 2016
- 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
- Dr. JC Goodman, ND
- Title
- Ceo
- Phone
- (843) 687-5391
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
531 W Evans St
Suite B
Florence, SC 29501-3407
Mailing address
531 W Evans St
Suite B
Florence, SC 29501-3407
Phone (843) 669-2295
Other names 1
- AWC Lab
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 |
|---|---|---|---|
| 42D2114073 | Awc Lab | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
531 W Evans St
Ste B
Florence, SC 29501
Phone (843) 669-2295
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.
-
- Laboratory Management Specialist/Technologist
- Florence, SC
- NPI 1659825248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464912000000",
"number": "1801244017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 W EVANS ST",
"address_2": "SUITE B",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013407",
"telephone_number": "843-669-2295",
"fax_number": "843-664-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 W EVANS ST",
"address_2": "SUITE B",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013407",
"telephone_number": "843-669-2295",
"fax_number": "843-664-1109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERNATIVE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-27",
"last_updated": "2016-06-03",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "JC",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-687-5391",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AWC Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.