Organization Active NPI

Express Lab Services, LLC

  • Health Service Clinic/Center
  • Columbus, GA
National Provider Identifier
1053076844
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EXPRESS LAB SERVICES, LLC
Practice address
6361 Talokas LN Ste C140-208
Columbus, GA 31909-5642
Phone
(706) 786-2636
Fax
(706) 204-3805
NPI assigned
Nov 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Andreka Thrash, RNNPI 1407511710
Title
Owner
Phone
(706) 358-1534

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

6361 Talokas LN Ste C140-208
Columbus, GA 31909-5642

Mailing address

6361 Talokas LN Ste C140-208
Columbus, GA 31909-5642
Phone (706) 786-2636

National Provider Directory

National Provider Directory

Locations

6361 Talokas Ln
Ste C140208
Columbus, GA 31909
Phone (706) 786-2636

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": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1053076844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 TALOKAS LN STE C140-208",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095642",
            "telephone_number": "706-786-2636",
            "fax_number": "706-204-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 TALOKAS LN STE C140-208",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095642",
            "telephone_number": "706-786-2636",
            "fax_number": "706-204-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS LAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "THRASH",
        "authorized_official_first_name": "ANDREKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-358-1534",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.