Paradigm Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PARADIGM LABS, LLC

Practice address

1302 Fountain Park Circle
Brunswick, GA 31520-4860

Phone

(912) 342-2443

Fax

(912) 634-5246

NPI assigned

Mar 18, 2014

Last updated

Jan 3, 2023By 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

Catherine Wolfe

Title

President/Ceo

Phone

(912) 342-2443

Specialties & licenses 1

Addresses

Other names 1

• Paradigm Labs, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1184041949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 FOUNTAIN PARK CIRCLE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204860",
            "telephone_number": "912-342-2443",
            "fax_number": "912-634-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FOUNTAIN PARK CIRCLE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204860",
            "telephone_number": "912-342-2443",
            "fax_number": "912-634-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "912-342-2443"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Labs, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Don Palmer, M.D.
• Ida McNear Palmer, CADCII
• Lisa Lee Palmer, RN
• Pamela S Wood LCSW PC
• Stephen George Pappas, M.D.
• Daphine Parker, RN
• Emily Lorraine Parks, CF-SLP
• Karen Michelle Parks, OT
• Parkwood Medical Center
• Parkwood Podiatry Associates, LLC

• Clinical Medical Laboratory in Brunswick, GA
• Providers in Brunswick, 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 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.