Chattahoochee Physicians Laboratory Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CHATTAHOOCHEE PHYSICIANS LABORATORY SERVICES, LLC

Practice address

1122 Cambridge SQ
Ste E
Alpharetta, GA 30009-1858

Phone

(770) 674-4468

Fax

(770) 209-2366

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Danielle Bauer

Title

Lab Administrator

Phone

(770) 674-4468

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1124409958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CAMBRIDGE SQ",
            "address_2": "STE E",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091858",
            "telephone_number": "770-674-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CAMBRIDGE SQ",
            "address_2": "STE E",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091858",
            "telephone_number": "770-674-4468",
            "fax_number": "770-209-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTAHOOCHEE PHYSICIANS LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "LAB ADMINISTRATOR",
        "authorized_official_telephone_number": "770-674-4468"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124409958",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003184390A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Lim Chapman, MD
• Charlie'S Angels Senior Care
• Michael J. Charnley, LPC
• Martha Chatlen, LPC
• Koeika Celeste Chatman
• Chattahoochee Surgical Group, LLP
• Chatterbox ABA LLC
• Chatterbox Inc
• Cheerful Chirp Therapy Services LLC
• Alex Chia-Hwang Chen, L.AC

• Clinical Medical Laboratory in Alpharetta, GA
• Providers in Alpharetta, 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 21, 2017; 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.