Nexus Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

97048 Issued in GA

Legal business name

NEXUS LABORATORIES, INC.

Practice address

1670 Scott Blvd
Decatur, GA 30033

Phone

(404) 376-8325

Fax

(404) 294-8467

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Alphonso Waters Jr.

Title

Owner

Phone

(404) 376-8325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1083988216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 SCOTT BOULEVARD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331424",
            "telephone_number": "404-296-8100",
            "fax_number": "404-294-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "404-376-8325",
            "fax_number": "404-294-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-376-8325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "97048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.