Provider Demographics
NPI:1275250839
Name:TOPAZ OCCUPATIONAL HEALTH SERVICES
Entity Type:Organization
Organization Name:TOPAZ OCCUPATIONAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAKIMA
Authorized Official - Middle Name:DESHAWN
Authorized Official - Last Name:CHINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-538-0864
Mailing Address - Street 1:1219 BYPASS 72 NE STE E
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-2260
Mailing Address - Country:US
Mailing Address - Phone:864-538-0864
Mailing Address - Fax:
Practice Address - Street 1:1219 BYPASS 72 NE STE E
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-2260
Practice Address - Country:US
Practice Address - Phone:864-538-0864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory