Organization Active NPI

Define Bliss and Lab Inc

  • Technician
  • Warner Robins, GA
National Provider Identifier
1205653672
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Legal business name
DEFINE BLISS AND LAB INC
Practice address
1000 Corporate Pointe Ste 309
Warner Robins, GA 31088-3441
Phone
(478) 777-6141
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Jakell Thomas, MA
Title
Director
Phone
(478) 777-6141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 374700000X Primary

Addresses

Primary practice location

1000 Corporate Pointe Ste 309
Warner Robins, GA 31088-3441

Mailing address

103 Karis CT
Perry, GA 31069-4878

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2309527Define Bliss & Lab Incorporated1000 Corporate Pointe, Warner Robins, GA 31088Certificate of waiverAug 15, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1205653672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 KARIS CT",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE STE 309",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883441",
            "telephone_number": "478-777-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINE BLISS AND LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JAKELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-777-6141",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.