Carolina Diagnostic Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CAROLINA DIAGNOSTIC SERVICES

Practice address

3320 Highway 153
Ste B
Piedmont, SC 29673-6713

Phone

(864) 269-3867

NPI assigned

Mar 5, 2007

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cleve Johnson

Title

Ceo

Phone

(864) 269-3867

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1831228097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296410792",
            "telephone_number": "864-269-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 HIGHWAY 153",
            "address_2": "STE B",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736713",
            "telephone_number": "864-269-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-269-3867"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson B Bruce, MD
• Diane Brussell, RCC, LCMHC
• Robert Bryant
• Jennifer Burger
• Care Central RX, LLC
• Carolina Wellness and Recovery of Powdersville
• Shane Chastain, DC
• Tami Cimand, DMD
• Ryan M Cook, D.M.D.
• Darlene Theresa Cooke

• Clinical Medical Laboratory in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.