ALLEXA OF SC-MYRTLE BEACH (NPI# 1063915551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063915551 |
| Entity Type | Organization |
| Organization Name | ALLEXA OF SC-MYRTLE BEACH |
| Other Organization Name | ALLEXA OF MYRTLE BEACH |
| Practice Address |
414 Garron Ct Myrtle Beach SC 29579-4197 |
| Practice Telephone | 8439990299 |
| Mailing Telephone | 8439990299 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | SANDRA BROOKS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8439992999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | SC | Agencies | |
| N | 251F00000X | Home Infusion | SC | Agencies | |
| N | 251J00000X | Nursing Care | SC | Agencies | |
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CLIA | 42D2177990 | 01 |
| Other Name | Type Code |
|---|---|
| Allexa MedLab of Myrtle Beach | Other Name - Individual/Organization |
| Allexa of Myrtle Beach | Other Name - Individual/Organization |
| Street Address |
414 GARRON CT |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487197364 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 107 Mcleod Health Blvd Ste 202, Myrtle Beach, SC 29579-4477 | 2016-11-28 |
| 1639284136 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 1705 N Oak St, Suite 8, Myrtle Beach, SC 29577-3580 | 2006-08-21 |
| 1295012979 | Er Investments Services,inc | Clinical Medical Laboratory | 1240 21st Ave N, Myrtle Beach, SC 29577-7401 | 2011-11-09 |
| 1972736528 | Strand Physician Specialists, Pa | Clinical Medical Laboratory | 4591 Socastee Blvd, Myrtle Beach, SC 29588-7209 | 2009-08-31 |
| 1356546659 | Inmed Diagnostics Services of Sc LLC | Clinical Medical Laboratory | 4701 Oleander Dr, Suite C, Myrtle Beach, SC 29577-5762 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078509 | Jeff David Alexander | Clinical Medical Laboratory | 2724 Wade Hampton Blvd Ste C, Greenville, SC 29615-1110 | 2020-09-16 |
| 1558976100 | Enmed Microanalytics, Inc | Clinical Medical Laboratory | 645 Meeting St Ste 2, Charleston, SC 29403-4277 | 2020-09-10 |
| 1871107128 | Afg Services LLC | Clinical Medical Laboratory | 131 Falls St Ste 302, Greenville, SC 29601-2876 | 2020-09-03 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1255952693 | Nacole Domanika Edwards | Clinical Medical Laboratory | 108 Roe St, Greer, SC 29651-1235 | 2020-04-27 |
| 1912564790 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 2724 W Palmetto St Ste 12, Florence, SC 29501-4909 | 2019-05-28 |
| 1386110153 | Assure Laboratory Inc | Clinical Medical Laboratory | 1200 Woodruff Rd Ste H32, Greenville, SC 29607-5790 | 2018-10-19 |
| 1174009245 | Vikor Scientific, LLC | Clinical Medical Laboratory | 22 Westedge St., Suite 800, Charleston, SC 29403-2940 | 2018-07-12 |
| 1548789522 | Tracy R Trapp | Clinical Medical Laboratory | 9005 Two Notch Rd Ste 22, Columbia, SC 29223-5850 | 2017-09-12 |
| 1982142345 | Avanti Laboratories LLC | Clinical Medical Laboratory | 1650 Highway 9 E, Unit 1, Longs, SC 29568-5754 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.