Organization Active NPI

Quantiva Diagnostics

  • Military Clinical Medical Laboratory
  • Johnsonville, SC
National Provider Identifier
1861358715
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Clinical Medical LaboratoryTaxonomy code 291900000X
Legal business name
QUANTIVA DIAGNOSTICS
Practice address
610 Deborah CT
Johnsonville, SC 29555-3402
Phone
(770) 363-8180
NPI assigned
Jan 5, 2026
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
James Jordan
Title
Ceo
Phone
(770) 363-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Clinical Medical Laboratory 291900000X NU Primary

Addresses

Primary practice location

610 Deborah CT
Johnsonville, SC 29555-3402

Mailing address

610 Deborah CT
Johnsonville, SC 29555-3402
Phone (770) 363-8180

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1861358715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 DEBORAH CT",
            "city": "JOHNSONVILLE",
            "state": "SC",
            "postal_code": "295553402",
            "telephone_number": "770-363-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 DEBORAH CT",
            "city": "JOHNSONVILLE",
            "state": "SC",
            "postal_code": "295553402",
            "telephone_number": "770-363-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTIVA DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-363-8180"
    },
    "taxonomies": [
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.