PRISMA HEALTH PEDIATRICS-SENECA
NPI 1215617097
Clinic/Center - Multi-Specialty in Seneca, SC
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 42D2123339
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-18-2026
About PRISMA HEALTH PEDIATRICS-SENECA
This page provides the complete NPI Profile along with additional information for Prisma Health Pediatrics-seneca, a provider established in Seneca, South Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1215617097 assigned on July 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Prisma Health Pediatrics-seneca. The authorized official of this NPI record is Polly H Miller (Svp Finance, Enterprise Contracting)
- NPI
- 1215617097 Verify this NPI
- Provider Legal Name
- PRISMA HEALTH-UPSTATE
- Other Organization Name
- PRISMA HEALTH PEDIATRICS-SENECA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 109 OMNI DR STE B SENECA, SC 29672
- Location Phone
- (864) 888-4222
- Location Fax
- (864) 888-0023
- Mailing Address
- 300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2023
- Last Update Date
- 10-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2123339
- Facility Type
- Physician Office
- Certificate Effective Date
- December 19, 2024
- Certificate Expiration Date
- December 18, 2026
- Laboratory Director
- MARY F. CROSSWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prisma Health Pediatrics-seneca to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215617097, enumerated as an "organization" on July 18, 2023.
The provider is located at 109 OMNI DR STE B SENECA, SC 29672 and the phone number is (864) 888-4222.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
