Active NPI
Emory University
- Clinical Medical Laboratory
- Decatur, GA
National Provider Identifier
1073592747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- EMORY UNIVERSITY
- Practice address
- 2165 N Decatur Rd
Decatur, GA 30033-5307 - Phone
- (404) 778-8500
- Fax
- (404) 778-8559
- NPI assigned
- Jan 11, 2006
- 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
- Thomas Lawley, M.D.
- Title
- Dean, Medical School/Professor
- Phone
- (404) 778-3681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2165 N Decatur Rd
Decatur, GA 30033-5307
Mailing address
2165 N Decatur Rd
Decatur, GA 30033-5307
Phone (404) 778-8500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104146 | Other | GA | PEACH STATE HEALTH PLAN |
| 427837 | Other | GA | BC/BS |
| 5293670 | Other | GA | AETNA PPO & CHOICE |
| 10044376 | Other | GA | AMERIGROUP |
| 515449 | Other | GA | AETNA HMO |
| 326448 | Other | GA | WELLCARE |
Other names 1
- Emory Genetics Laboratory
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1073592747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335307",
"telephone_number": "404-778-8500",
"fax_number": "404-778-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335307",
"telephone_number": "404-778-8500",
"fax_number": "404-778-8559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMORY UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-11",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "LAWLEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "DEAN, MEDICAL SCHOOL/PROFESSOR",
"authorized_official_telephone_number": "404-778-3681",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE HEALTH PLAN",
"identifier": "104146",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "427837",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO & CHOICE",
"identifier": "5293670",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10044376",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "515449",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "326448",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Emory Genetics Laboratory",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.