Serendipity Care Lab Services LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SERENDIPITY CARE LAB SERVICES LLC

Practice address

5823 Webb Forest CT
Powder Springs, GA 30127-9061

Phone

(404) 478-6409

NPI assigned

Nov 2, 2021

Last updated

Dec 8, 2021By 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

Katrina King

Title

Owner/Administration

Phone

(404) 964-4099

Specialties & licenses 2

Addresses

Other names 1

• Serendipity Care Lab Services LLC Former legal business name

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1164187472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 WEBB FOREST CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301279061",
            "telephone_number": "404-964-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 WEBB FOREST CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301279061",
            "telephone_number": "404-478-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY CARE LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATION",
        "authorized_official_telephone_number": "404-964-4099"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serendipity Care Lab Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Serendipity Care Lab Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Service Clinic/Center in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.