Organization Active NPI

Xpress Laboratory Services LLC

  • Clinical Medical Laboratory
  • Union City, GA
National Provider Identifier
1013785708
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
XPRESS LABORATORY SERVICES LLC
Practice address
6781 Londonderry Way Unit 4a
Union City, GA 30291-2094
Phone
(404) 465-1555
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer Miles Brown, PHDNPI 1285373852
Title
Ceo
Phone
(510) 932-3814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6781 Londonderry Way Unit 4a
Union City, GA 30291-2094

Mailing address

109 Scarbrush CT
Stockbridge, GA 30281-1017
Phone (510) 932-3814

National Provider Directory

National Provider Directory

Locations

6781 Londonderry Way
Unit 4A
Union City, GA 30291
Phone (404) 465-1555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1013785708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SCARBRUSH CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811017",
            "telephone_number": "510-932-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 LONDONDERRY WAY UNIT 4A",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912094",
            "telephone_number": "404-465-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESS LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "MILES BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-932-3814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.