Active NPI
Kentrice Cunningham-London
- Phlebotomy Technician
- Snellville, GA
National Provider Identifier
1104409663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 216463
- Practice address
- 2341 Henry Clower Blvd Ste D
Snellville, GA 30078-7420 - Phone
- (470) 406-6994
- Fax
- (770) 680-5324
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 216463 | GA | Primary |
Addresses
Primary practice location
2341 Henry Clower Blvd Ste D
Snellville, GA 30078-7420
Mailing address
3177 Misty View TRL
Lilburn, GA 30047-1832
Phone (943) 259-2488
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@gomedicallabs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2341 Henry Clower Blvd
Suite D
Snellville, GA 30078-7420
3177 Misty View TRL
Lilburn, GA 30047-1832
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216463 | GA | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gomedical Labs LLC | Single Specialty | Current | Accepting new patients |
Locations
2341 Henry Clower Blvd
Ste D
Snellville, GA 30078
Phone (470) 406-6994
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1104409663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3177 MISTY VIEW TRL",
"city": "LILBURN",
"state": "GA",
"postal_code": "300471832",
"telephone_number": "943-259-2488",
"fax_number": "770-680-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 HENRY CLOWER BLVD STE D",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300787420",
"telephone_number": "470-406-6994",
"fax_number": "770-680-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM-LONDON",
"first_name": "KENTRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "GA",
"license": "216463",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@gomedicallabs.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2341 Henry Clower Blvd Ste D",
"city": "Snellville",
"state": "GA",
"country_code": "US",
"postal_code": "300787420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.