Iverson Genetic Diagnostics Inc
LBN: Iverson Genetic Diagnostics, Inc.
Iverson Genetic Diagnostics Inc is an health care organization with primary practice located at 645 Meeting Street , Charleston SC 29403. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Iverson Genetic Diagnostics, Inc. can be contacted via phone (843) 789-5912, or through Clouse, Joseph via phone (720) 284-7526.
Contact Information
Primary practice address
645 Meeting Street
Charleston SC 29403
Phone: (843) 789-5912
Fax: (888) 909-9784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | MTS-5156 | Washington |
| Laboratories / Clinical Medical Laboratory | 291U00000X | MTSC.FS.600017885 | Washington |
Profile Details
| NPI number | 1992998157 |
|---|---|
| LBN Legal business name | Iverson Genetic Diagnostics, Inc. |
| DBA Doing business as | Iverson Genetic Diagnostics Inc |
| Authorized official | Clouse, Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Nov 2nd, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992998157 | NPPES |
| Washington | Other | 50D1072592 | CLIA # |
| Washington | Other | 50D1083740 | CLIA # |
| Washington | MEDICAID | 7141252 | CLIA # |
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