FORMA MEDICAL SOLUTIONS LLC


Address: 107 Orange St Apt 202, Darlington, SC 29532-3107
Phone: 8435363375

FORMA MEDICAL SOLUTIONS LLC (NPI# 1225697477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225697477
Entity Type Organization
Organization Name FORMA MEDICAL SOLUTIONS LLC
Practice Address 107 Orange St Apt 202
Darlington
SC 29532-3107
Practice Telephone 8435363375
Practice Fax Number 8439689047
Mailing Telephone 8435363375
Mailing Fax Number 8439689047
Enumeration Date 2019-06-11
Last Update Date 2019-06-11
Authorized Official Name DAVID IRWIN MORRISEY (CEO)
Authorized Official Telephone 8435363375
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QG0250X Clinic/Center
Specialization: Genetics
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578032405 Forma Medical Solutions LLC Day Training, Developmentally Disabled Services 107 Orange St Apt 202, Darlington, SC 29532-3107 2018-11-20
1942779640 Forma Medical Solutions LLC Emergency Response System Companies 107 Orange St Apt 202, Darlington, SC 29532-3107 2018-11-26

Office Location

Street Address 107 ORANGE ST APT 202
City DARLINGTON
State SC
Zip Code 29532-3107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578032405 Forma Medical Solutions LLC Day Training, Developmentally Disabled Services 107 Orange St Apt 202, Darlington, SC 29532-3107 2018-11-20
1942779640 Forma Medical Solutions LLC Emergency Response System Companies 107 Orange St Apt 202, Darlington, SC 29532-3107 2018-11-26

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Taxonomy Information

Taxonomy Code 261QG0250X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Genetics

Taxonomy Definition

An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255989729 Perfect Works Medical Solutions, LLC Clinic/Center 641 Hartland Dr, Hartsville, SC 29550-2936 2019-08-28

Competitor

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City DARLINGTON
Zip Code 29532

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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