Atlanta Clinical Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0640536 Issued in GA

Legal business name

ATLANTA CLINICAL LABORATORIES INC

Practice address

1122 Gray Hwy Ste 3
Macon, GA 31211-3206

Phone

(478) 742-8205

Fax

(478) 743-8072

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clyde Octavius Green, M.D.

Title

Laboratorie Director

Phone

(478) 742-8205

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1104944123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 GRAY HWY STE 3",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312113206",
            "telephone_number": "478-742-8205",
            "fax_number": "478-743-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 GRAY HWY STE 3",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312113206",
            "telephone_number": "478-742-8205",
            "fax_number": "478-743-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CLINICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "OCTAVIUS",
        "authorized_official_title_or_position": "LABORATORIE DIRECTOR",
        "authorized_official_telephone_number": "478-742-8205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "0640536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Godlive Athis
• Sudhir S Athni, MD
• Heidi Mans Atkins, PA-C
• John Pepper Atkinson, M.D.
• Lance D Atkinson, MD
• Atlanta Prosthetics & Orthotics of Macon, LLC (Atlanta Prosthetics & Orthotics)
• Atlantic Diagnostic Center Limited
• Atlantic Hospitalist Group Inc
• Atlantic Lung Center Inc
• Atlantic Sleep Lab, Inc.

• Clinical Medical Laboratory in Macon, GA
• Providers in Macon, 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 Jan 14, 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.

Verify at the official NPI Registry.