=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326652538
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SCALPEL SOLUTIONS, INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2020
-----------------------------------------------------
Last Update Date | 09/04/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 31 MEMORIAL MEDICAL DR
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29605-4407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-363-4387
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 31 MEMORIAL MEDICAL DR
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29605-4407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-363-4387
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | FRANK CIOPPETTINI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 864-772-3629
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------