Valerie Farrell

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

1105 Forest Pkwy
Forest Park, GA 30297-2308

Phone

(646) 538-5405

NPI assigned

Oct 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1184446148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 FOREST PKWY",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972308",
            "telephone_number": "646-538-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 FOREST PKWY",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972308",
            "telephone_number": "646-538-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "VALERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romina Esmkhani
• Ethical Medical Logistics, LLC
• Angela Evans, DO
• Fahimot Oyinlola Faduyile, M.D.
• Family Pain Management LLC
• Jeffrey P Flash, D.P.M.
• Forest Park Anesthesia Partners LLC
• Forest Park Denture Center
• Forest Park Medical Group
• Forest Park Professional Group LLC

• Clinical Medical Laboratory in Forest Park, GA
• Providers in Forest Park, 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 Oct 30, 2024; 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.