Organization Active NPI

Travel Labs, LLC

  • Health Service Clinic/Center
  • Duluth, GA
National Provider Identifier
1184345902
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TRAVEL LABS, LLC
Practice address
6600 Sugarloaf Pkwy Ste 400-340
Duluth, GA 30097-4344
Phone
(678) 558-5340
NPI assigned
Sep 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Temple Broughton, CPT
Title
Owner
Phone
(678) 558-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

6600 Sugarloaf Pkwy Ste 400-340
Duluth, GA 30097-4344

Mailing address

6600 Sugarloaf Pkwy Ste 400-340
Duluth, GA 30097-4344
Phone (678) 558-5340

National Provider Directory

National Provider Directory

Locations

6600 Sugarloaf Pkwy
Ste 400340
Duluth, GA 30097
Phone (678) 558-5340

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1184345902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SUGARLOAF PKWY STE 400-340",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974344",
            "telephone_number": "678-558-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SUGARLOAF PKWY STE 400-340",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974344",
            "telephone_number": "678-558-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "TEMPLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-558-5340",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.