Select Toxicology Lab STL LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SELECT TOXICOLOGY LAB STL LLC

Practice address

1051 Bill Buyck Blvd
Ste a
Manning, SC 29102-9242

Phone

(803) 505-6100

NPI assigned

Jan 9, 2015

Last updated

Mar 25, 2026By 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

Keegan MoriartyNPI 1588340293

Title

Owner

Phone

(301) 676-6922

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Select Toxicology Labs, LLC

  • Clinical Medical Laboratory
  • Manning, SC
  • NPI 1821427097

  O20140222000198

  Same enrollment

Tax ID family

Select Toxicology Lab STL LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Select Toxicology Labs, LLC

  • Clinical Medical Laboratory
  • Manning, SC
  • NPI 1821427097
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Select Laboratories SC LLC

  • Clinical Medical Laboratory
  • Manning, SC
  • NPI 1528122678

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keegan Moriarty

  • Pharmacist
  • Charles Town, WV
  • NPI 1588340293
  Authorized official Same address or phone

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1952790206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 KELLER SPRINGS RD STE 220",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016282",
            "telephone_number": "301-676-6922",
            "fax_number": "214-594-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BILL BUYCK BLVD",
            "address_2": "STE A",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291029242",
            "telephone_number": "803-505-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT TOXICOLOGY LAB STL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "KEEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-676-6922"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "1528122678",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sautee Cooper Birthing Center
• SC Department of Juvenile Justice
• Kristen Scott, PHARMD
• Natalie Marie Scott, LMHC, LPC, MAC, CS
• Select Laboratories SC LLC
• Select Toxicology Labs, LLC
• Courtney Sennett, OTR/L
• Jessica L Shanks
• John A. Sherman, MD
• Fantasia Trenell Singleton, LMSW

• Clinical Medical Laboratory in Manning, SC
• Providers in Manning, 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 Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.