Four Corners Testing LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FOUR CORNERS TESTING LLC

Practice address

4050 Ga-42
Locust Grove, GA 30248

Phone

(206) 371-3336

NPI assigned

Jan 26, 2023

Last updated

Jan 26, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

FOUR CORNERS TESTING LLCAs reported in NPPES

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

Authorized official

Name

Bryan Jones

Title

Principal

Phone

(206) 371-3336

Specialties & licenses 1

Addresses

Tax ID family

Four Corners Testing2 organizations share this tax ID, including this one

Part of

Four Corners Testing LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Four Corners Testing

  • Clinic/Center
  • Atlanta, GA
  • NPI 1710693734
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Four Corners Testing

  • Clinic/Center
  • Atlanta, GA
  • NPI 1710693734
  NPPES parent name

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1194431718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST # F1-282",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 GA-42",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "30248",
            "telephone_number": "206-371-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS TESTING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR CORNERS TESTING LLC",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "206-371-3336"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Faulkner, NP
• Theresa Feanny
• Jean Robert Ferdinand, MD
• Nateka Fielder, RRT
• Tangy Foster-Mosely
• Regan Joy Frake, M.D.
• Tieara Freeman, MS
• Fresenius Medical Care Locust Grove, LLC (Fresenius Kidney Care Locust Grove)
• Ga Gastro LLC
• Amanda Danielle Gattie, CPNP

• Clinic/Center in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.