Provider Demographics
NPI:1174206312
Name:CALHOUN DRUG TESTING SERVICES
Entity type:Organization
Organization Name:CALHOUN DRUG TESTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:TOMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-356-2799
Mailing Address - Street 1:1060 STONEHAM CIR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29626-5676
Mailing Address - Country:US
Mailing Address - Phone:864-387-7123
Mailing Address - Fax:
Practice Address - Street 1:111 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1325
Practice Address - Country:US
Practice Address - Phone:864-642-4798
Practice Address - Fax:864-540-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory