Southeast Lab Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHEAST LAB SERVICES, LLC

Practice address

270 Carpenter Drive
Suite 680
Sandy Springs, GA 30328

Phone

(404) 381-1564

NPI assigned

Jun 17, 2015

Last updated

Nov 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Hackle, M.D.

Title

Lab Director

Phone

(404) 381-1567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1215318076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DR",
            "address_2": "SUITE 680",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284931",
            "telephone_number": "404-381-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DRIVE",
            "address_2": "SUITE 680",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-381-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "HACKLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "404-381-1567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Sandy Springs, GA
• Providers in Sandy Springs, 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 Nov 17, 2017; 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.