Active NPI
Chattahoochee Valley Dna Services
- Clinical Medical Laboratory
- Columbus, GA
National Provider Identifier
1053115154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CHATTAHOOCHEE VALLEY DNA SERVICES
- Practice address
- 1102 18TH Ave
Columbus, GA 31906-2944 - Phone
- (706) 580-1490
- NPI assigned
- Apr 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dineta Vega
- Title
- Director
- Phone
- (706) 580-1490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1102 18TH Ave
Columbus, GA 31906-2944
Mailing address
1102 18TH Ave
Columbus, GA 31906-2944
Phone (706) 580-1490
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2341927 | Chattahoochee Valley Dna Services | Certificate of waiver | Apr 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
1102 18th Ave
Columbus, GA 31906
Phone (706) 580-1490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743465600000",
"number": "1053115154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 18TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062944",
"telephone_number": "706-580-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 18TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062944",
"telephone_number": "706-580-1490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATTAHOOCHEE VALLEY DNA SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-01",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A",
"authorized_official_last_name": "VEGA",
"authorized_official_first_name": "DINETA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "706-580-1490"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
- Chattahoochee Sleep Center DME, LLC
- Chattahoochee Sleep Center LLC
- Chattahoochee Surgical Dermatology, LLC
- Chattahoochee Valley Bone & Joint, Inc.
- Chattahoochee Valley Dental
- Chattahoochee Valley Family Medicine Inc
- Chattahoochee Valley Home Care Services, Inc.
- Chattahoochee Valley Home Health, LLC
- Chattahoochee Valley Jail Ministry
- Dipal Chatterjee-Berfroid, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.