Healthcare Provider Details
I. General information
NPI: 1336062124
Provider Name (Legal Business Name): ONSITE CLINICAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
259 LIVERPOOL RD
ROCK HILL SC
29730-7088
US
IV. Provider business mailing address
259 LIVERPOOL RD
ROCK HILL SC
29730-7088
US
V. Phone/Fax
- Phone: 803-526-7699
- Fax:
- Phone: 803-526-7699
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELIQUE
C
MENDOZA
Title or Position: MANAGER
Credential: RN
Phone: 803-526-7699