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
Fax: (888) 909-9784
Website:
Authorized official contact:
Name: Clouse, Joseph

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992998157 NPPES
Washington Other 50D1072592 CLIA #
Washington Other 50D1083740 CLIA #
Washington MEDICAID 7141252 CLIA #

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