Provider Demographics
NPI:1841152428
Name:NEST DIAGNOSTICS, INC.
Entity type:Organization
Organization Name:NEST DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:TEJAS
Authorized Official - Last Name:CALLAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-498-3108
Mailing Address - Street 1:681 ROCK LAKE GLN
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-6454
Mailing Address - Country:US
Mailing Address - Phone:571-498-3108
Mailing Address - Fax:
Practice Address - Street 1:681 ROCK LAKE GLN
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-6454
Practice Address - Country:US
Practice Address - Phone:571-498-3108
Practice Address - Fax:000-000-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center