Active NPI
Travel Labs, LLC
- Health Service Clinic/Center
- Duluth, GA
National Provider Identifier
1184345902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.