Organization Active NPI

Physicians Laboratories

  • Clinical Medical Laboratory
  • Manning, SC
National Provider Identifier
1881780765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHYSICIANS LABORATORIES
Practice address
110 Breedin St
Manning, SC 29102-3014
Phone
(803) 435-4316
Fax
(803) 435-2878
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pamela Clements Jeffords
Title
Laboratory Manager
Phone
(803) 435-4316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

110 Breedin St
Manning, SC 29102-3014

Mailing address

110 Breedin St
Manning, SC 29102-3014
Phone (803) 435-4316

National Provider Directory

National Provider Directory

Locations

110 Breedin St
Manning, SC 29102
Phone (803) 433-4340

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881780765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BREEDIN ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023014",
            "telephone_number": "803-435-4316",
            "fax_number": "803-435-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BREEDIN ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023014",
            "telephone_number": "803-435-4316",
            "fax_number": "803-435-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFFORDS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "CLEMENTS",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "18034354316"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.