Precious Jewels Medical Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRECIOUS JEWELS MEDICAL LAB

Practice address

401 Western LN Ste B
Irmo, SC 29063-7953

Phone

(803) 830-9095

NPI assigned

Oct 12, 2021

Organization subpart

Yes

Parent organization

PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Nikita Pete, DNPNPI 1740776582

Title

Medical Officer

Phone

(803) 830-9095

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Precious Jewels Medical He

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Precious Jewels Medical & Health Services, LLC

  • Home Health Agency
  • Irmo, SC
  • NPI 1902422850
  NPPES parent name

Practitioners 1

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

• Nikita Shaneka Pete

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1740776582
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1982366530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WESTERN LN STE B",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637953",
            "telephone_number": "803-830-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTERN LN STE B",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637953",
            "telephone_number": "803-830-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS JEWELS MEDICAL LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC",
        "enumeration_date": "2021-10-12",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "PETE",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "803-830-9095",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Powell, RN
• Brittany Powers Berlinrut, DPT, FAAOMPT
• PPCP Specialty Physicians , LLC
• Precious Jewels Home Services
• Precious Jewels Medical & Health Services, LLC
• Tena Pressley
• Progressive Chiropractic & Orthopedic
• Progressive Physical Therapy, PA
• Providence Orthopaedic Group, LLC
• Providence Orthopedic Group, LLC

• Clinical Medical Laboratory in Irmo, SC
• Providers in Irmo, 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 Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.