Organization Active NPI

Gentle Stix Collection, Training & Mobile LLC

  • Clinical Medical Laboratory
  • Dalzell, SC
National Provider Identifier
1891569919
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENTLE STIX COLLECTION, TRAINING & MOBILE LLC
Practice address
3555 Camden Hwy
Ste 1
Dalzell, SC 29040
Phone
(803) 200-1557
Fax
(803) 607-9276
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Mrs. Pia C Simmons-Evans
Title
Owner
Phone
(803) 200-1557

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3555 Camden Hwy
Ste 1
Dalzell, SC 29040

Mailing address

3555 Camden Hwy
Ste 1
Dalzell, SC 29040
Phone (803) 200-1557

National Provider Directory

National Provider Directory

Locations

3555 Camden Hwy
Ste 1
Dalzell, SC 29040
Phone (803) 200-1557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1891569919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 CAMDEN HWY",
            "address_2": "STE 1",
            "city": "DALZELL",
            "state": "SC",
            "postal_code": "29040",
            "telephone_number": "803-200-1557",
            "fax_number": "803-607-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CAMDEN HWY",
            "address_2": "STE 1",
            "city": "DALZELL",
            "state": "SC",
            "postal_code": "29040",
            "telephone_number": "803-200-1557",
            "fax_number": "803-607-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE STIX COLLECTION, TRAINING & MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "SIMMONS-EVANS",
        "authorized_official_first_name": "PIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-200-1557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalzell, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.