ADVANTAGE MEDICAL GROUP LABTORY, LLC (NPI# 1962889493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962889493 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE MEDICAL GROUP LABTORY, LLC |
| Practice Address |
9153 Two Notch Rd Columbia SC 29223-5852 |
| Practice Telephone | 8032239193 |
| Mailing Telephone | 8032239193 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | CHRISTOPHER YOUNG (CEO) |
| Authorized Official Telephone | 8032239193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 3535 | SC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | INDEPENDENT | 3535 | 01 |
| Street Address |
9153 TWO NOTCH RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084206 | Helix Specialty Diagnostics | Clinical Medical Laboratory | 2515 Bernadette Dr, Columbia, MO 65203-4674 | 2019-07-10 |
| 1083172043 | St. Jude Laboratories LLC | Clinical Medical Laboratory | 5525 Twin Knolls Rd Ste 323, Columbia, MD 21045-3207 | 2019-03-08 |
| 1942768213 | Labone LLC | Clinical Medical Laboratory | 303 N Keene St Fl 1, Columbia, MO 65201-8050 | 2019-03-06 |
| 1700344116 | Labone LLC | Clinical Medical Laboratory | 2003 W Broadway Ste 103, Columbia, MO 65203-1136 | 2019-03-05 |
| 1902360019 | Labone LLC | Clinical Medical Laboratory | 200 Portland St Fl 1, Columbia, MO 65201-6525 | 2019-01-23 |
| 1548789522 | Tracy R Trapp | Clinical Medical Laboratory | 9005 Two Notch Rd Ste 22, Columbia, SC 29223-5850 | 2017-09-12 |
| 1033665450 | Matsunaga Pain Management LLC | Clinical Medical Laboratory | 9755 Patuxent Woods Dr, Suite 100, Columbia, MD 21046-2286 | 2016-08-26 |
| 1669817474 | American Health Associates Inc | Clinical Medical Laboratory | 10270 Old Columbia Rd Ste 600, Columbia, MD 21046-1867 | 2013-05-07 |
| 1700128790 | Amicus Health, LLC | Clinical Medical Laboratory | 1700 Alta Vista Dr, Suite 100, Columbia, SC 29223-4537 | 2013-03-18 |
| 1124319637 | A Cell | Clinical Medical Laboratory | 8671 Robert Fulton Dr, Columbia, MD 21046-2582 | 2011-05-02 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on ADVANTAGE MEDICAL GROUP LABTORY, LLC.
| 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.