Organization Active NPI

DLS Research & Ventures

  • Clinical Medical Laboratory
  • Conyers, GA
National Provider Identifier
1174077580
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
291U0000X Issued in GA
Legal business name
DLS RESEARCH & VENTURES
Practice address
1700 Honey Creek CMNS SE Ste a
Conyers, GA 30013-5842
Phone
(770) 648-8951
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Dr. David Lee Scott Jr., PHD
Title
Ceo/Lab Director
Phone
(770) 648-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 291U0000X GA Primary

Addresses

Primary practice location

1700 Honey Creek CMNS SE Ste a
Conyers, GA 30013-5842

Mailing address

1700 Honey Creek CMNS SE Ste a
Conyers, GA 30013-5842
Phone (770) 648-8951

Other names 1

  • Professional Diagnostic Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191022001658 GA Part B Supplier - Independent Clinical Laboratory 1153674981 Practice locations: Conyers, GA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1700 Honey Creek Cmns SE
Ste A
Conyers, GA 30013
Phone (678) 756-8304

3565 Highway 20 SE
Ste R
Conyers, GA 30013

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1174077580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HONEY CREEK CMNS SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135842",
            "telephone_number": "770-648-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HONEY CREEK CMNS SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135842",
            "telephone_number": "770-648-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLS RESEARCH & VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO/LAB DIRECTOR",
        "authorized_official_telephone_number": "770-648-8951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "291U0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Diagnostic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.