The Drisinexpress

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THE DRISINEXPRESS

Practice address

106 Rock Quarry Rd Ste C
Stockbridge, GA 30281-3766

Phone

(770) 954-5052

Fax

(770) 692-8244

NPI assigned

Jul 13, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loren Pierce

Title

Owner

Phone

(770) 954-5052

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1093449365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROCK QUARRY RD STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813766",
            "telephone_number": "770-954-5052",
            "fax_number": "770-692-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROCK QUARRY RD STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813766",
            "telephone_number": "770-954-5052",
            "fax_number": "770-692-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DRISINEXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-954-5052"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D2254495",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.