USC UPSTATE SPORTS MEDICINE
NPI 1306235999
Family Medicine in Spartanburg, SC
About Usc Upstate Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
USC UPSTATE SPORTS MEDICINE (NPI 1306235999) is a healthcare organization registered as a family medicine in Spartanburg, South Carolina and active in the NPI registry since January 2015. The organization holds a CLIA Microscopy certificate valid through December 31, 2026 and lists Mouzon Bass, Agent, as its authorized official.Information from the official NPPES registry record, last updated January 20, 2015.
NPPES Registry Identity
★ Primary Specialty
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the… Show more
Also Listed
Also on File with NPPES
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
- 42D0902324
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- January 01, 2025
- Certificate Expiration Date
- December 31, 2026
- Laboratory Director
- DR. GINGER BOYLE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Usc Upstate Sports Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306235999, enumerated as an "organization" on January 20, 2015.
The provider is located at 800 UNIVERSITY WAY GB HODGE CENTER SPARTANBURG, SC 29303 and the phone number is (864) 503-5104.
Family Medicine with taxonomy code 207Q00000X.
