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INTERNAL MEDICINE & DIAGNOSTICS GROUP
NPI 1578650792
Clinic/Center - Medical Specialty in Greenville, SC

Active since October 09, 2006CLIA 42D0252349 · Waiver
17 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605(864) 295-1750(864) 295-1753 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Internal Medicine & Diagnostics Group NPPES

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

INTERNAL MEDICINE & DIAGNOSTICS GROUP (NPI 1578650792) is a healthcare organization registered as a medical specialty in Greenville, South Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists James Leland Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1578650792
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameINTERNAL MEDICINE & DIAGNOSTICS GROUP
Location Address17 MEMORIAL MEDICAL DRGreenville, SC 29605-4407
Mailing Address17 Memorial Medical DrGreenville, SC 29605-4407 · (864) 295-1750 · Fax (864) 295-1753
Phone(864) 295-1750
Fax(864) 295-1753
Organization SubpartNo
Authorized OfficialJames Leland AndersonOwner · (864) 295-1750
Enumeration DateOctober 9, 2006
Last NPPES UpdateOctober 10, 2007
✔ NPI 1578650792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in SC · 7401
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
17 MEMORIAL MEDICAL DR, Greenville, SC 29605
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN3968SC

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 42D0252349

Internal Medicine & Diagnostics · Greenville, SC
Active · expires Sep 17, 2026
CLIA Number42D0252349
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDr. James L. Anderson III
Laboratory Phone(864) 295-1750
Laboratory LocationInternal Medicine & Diagnostics2 Innovation Drive, Suite 140, Greenville, SC 29605
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

JONNETT MARIE BARRICK LPC
Counselor (Professional)
17 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Greenville County (864) 283-0637
TIFFANY M BALES MSW, LISW-CP
Social Worker (Clinical)
17 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Greenville County (864) 283-0637
MARILYN KENNEDY MA-COUNSELING
Counselor (Professional)
17 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Greenville County (864) 283-0637
MELINDA K TYSON MS
Counselor (Mental Health)
17 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Greenville County (864) 283-0637
CHRISTINE DANIELLE WHITE LPC
Counselor (Professional)
17 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Greenville County (678) 896-9255
ASHLEE NICOLE BREDAEL
Counselor (Mental Health)
17 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Greenville County (864) 283-0637
ST FRANCIS PHYSICIAN SERVICES INC
Family Medicine
17 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Greenville County (864) 255-1554
WAYNE OWENS
Counselor (Mental Health)
17 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Greenville County (864) 283-0637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Internal Medicine & Diagnostics Group's NPI number?

The NPI number for Internal Medicine & Diagnostics Group is 1578650792. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Internal Medicine & Diagnostics Group located?

Internal Medicine & Diagnostics Group is located at 17 Memorial Medical Dr, Greenville, SC 29605. The listed phone number is (864) 295-1750.

What is Internal Medicine & Diagnostics Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Internal Medicine & Diagnostics Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0252349) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Internal Medicine & Diagnostics Group was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.