Kempo Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KEMPO CORPORATION

Practice address

6096 Highway 151
Jefferson, SC 29718-5813

Phone

(843) 658-3540

NPI assigned

Aug 5, 2020

Last updated

Aug 5, 2020By 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

Abdul Karim Salaheddine

Title

Chief Executive Officer

Phone

(980) 273-9668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1982214763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 STATESVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694250",
            "telephone_number": "704-563-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6096 HIGHWAY 151",
            "city": "JEFFERSON",
            "state": "SC",
            "postal_code": "297185813",
            "telephone_number": "843-658-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "SALAHEDDINE",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "KARIM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "980-273-9668"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Noel Grant
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• Angela S. Mearns, FNP
• Nneka Onwuteaka
• Ngo Thi Pham
• Diane M Price
• Sandhills Medical Foundation, Inc. (Jefferson Drug)

• Clinical Medical Laboratory in Jefferson, SC
• Providers in Jefferson, 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 Aug 5, 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.