UPSTATE LUNG AND CRITICAL CARE SPECIALISTS PC
NPI 1013963982
Internal Medicine - Pulmonary Disease in Spartanburg, SC

Q: What is Upstate Lung And Critical Care Specialists PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since May 25, 2006CLIA 42D1044507 · Waiver

151 HAROLD FLEMING CT, SPARTANBURG, SC 29303(864) 208-0347(864) 573-6323 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Sep 8, 2020, Sep 3, 2020 (3 updates tracked since 2020).

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About Upstate Lung And Critical Care Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPSTATE LUNG AND CRITICAL CARE SPECIALISTS PC (NPI 1013963982) is a healthcare organization registered as a pulmonary disease in Spartanburg, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Lashanda Mayberry, Credential Coordinator, as its authorized official.

NPPES Registry Identity

NPI1013963982

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameUPSTATE LUNG AND CRITICAL CARE SPECIALISTS PC

Location Address151 HAROLD FLEMING CTSpartanburg, SC 29303-4225

Mailing Address151 Harold Fleming CtSpartanburg, SC 29303-4225 · (864) 573-6320 · Fax (864) 573-6323

Phone(864) 208-0347

Fax(864) 573-6323

Organization SubpartNo

Authorized OfficialLashanda MayberryCredential Coordinator · (864) 573-6320

Enumeration DateMay 25, 2006

Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration

NPPES CertifiedMarch 15, 2023

✔ NPI 1013963982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

151 HAROLD FLEMING CT, Spartanburg, SC 29303

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Other Identifiers 2

Medicaid890729MNC

MedicaidGP3212SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1044507

Upstate Lung & Critical Care Specialists, PC · Union, SC

Active · expires Aug 21, 2027

CLIA Number42D1044507

Laboratory TypePhysician Office

Certificate Effective DateAugust 22, 2025

Certificate Expiration DateAugust 21, 2027

Laboratory DirectorDr. Joseph A. Boscia III

Laboratory Phone(864) 573-6320

Laboratory LocationUpstate Lung & Critical Care Specialists, PC1005 Thompson Blvd, Union, SC 29379

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE GORDINEER KRYGER NP

Nurse Practitioner