Active NPI
Quantiva Diagnostics
- Military Clinical Medical Laboratory
- Johnsonville, SC
National Provider Identifier
1861358715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Clinical Medical Laboratory
- 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, 2026
- 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
- James Jordan
- Title
- Ceo
- Phone
- (770) 363-8180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- McLeod Physician Associates II (McLeod Family Medicine - Johnsonville)
- McLeod Physician Associates, Inc. (McLeod Family Medicine - Johnsonville)
- Dawn McElveen Munn, RPH
- April E Newell, PHARMD
- Latonya Parker
- Katelyn Hanna Rogers, MSN, APRN, FNP-C
- Chandace B Tanner, PHARM D
- Eric Thompkins
- Wall Drugs of Johnsonville
- Wall Drugs of Johnsonville, Inc.
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.