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Contact Information

QUANTIVA DIAGNOSTICS
610 DEBORAH CT
JOHNSONVILLE, SC29555-3402
 Phone: 770-363-8180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military Clinical Medical Laboratory

291900000X B4[14] Histocompatibility Laboratory
Indicates primary specialty

NPI Profile & details for QUANTIVA DIAGNOSTICS

NPI # 1861358715
LBN Legal business name QUANTIVA DIAGNOSTICS
Authorized official JAMES JORDAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2026
Last updated 01/05/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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