MEDICARE: NEST DIAGNOSTICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	251E00000X	Home Health Agency
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1841152428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEST DIAGNOSTICS, INC.

Provider Business Mailing Address
First Line	:	681 ROCK LAKE GLN
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-6454
Country	:	US
Telephone Number	:	571-498-3108
Fax Number	:

Provider Business Practice Location Address
First Line	:	681 ROCK LAKE GLN
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-6454
Country	:	US
Telephone Number	:	571-498-3108
Fax Number	:	--

Authorized Official
Title or Position	:	CEO
Name	:	MR. MATTHEW TEJAS CALLAHAM
Credential	:
Telephone Number	:	571-498-3108

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	01/13/2026

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Directions to “NEST DIAGNOSTICS, INC. ” Practice Location

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