# TESTING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TESTING SUPPLIER, CONTRACTOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497249874
- **Authorized official:** CHIRVELLA LOUISE TERRY CONTRACTOR (TECHNICIAN)
- **Authorized official phone:** (843) 229-5626

## Contact information

- **Practice address:** 4100 N MAIN ST STE 104, COLUMBIA, SC 29203-5800
- **Practice address phone:** (843) 229-5626
- **Practice address fax:** (803) 814-2520
- **Mailing address:** 4100 N MAIN ST STE 104, COLUMBIA, SC 29203-5800
- **Mailing address phone:** (843) 229-5626
- **Mailing address fax:** (803) 814-2520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 119254555 | SC | Yes |

## Other

- **Enumeration date:** 06/19/2018
- **Last updated:** 06/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 119254555 | CONTRACTOR | SC |