South Georgia Toxicology, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTH GEORGIA TOXICOLOGY, INC

Practice address

3312 N Oak Street Ext
B3
Valdosta, GA 31605-1065

Phone

(229) 242-4600

NPI assigned

Jul 22, 2015

Last updated

Jul 6, 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

Mr. Ed Drambel

Title

Owner

Phone

(229) 242-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Accurate and Transparent Laboratories

  dba Clarity Clinical Laboratory Inc

  • Clinical Medical Laboratory
  • Tucker, GA
  • NPI 1801386552
  NPPES parent name

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1225413099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 N OAK STREET EXT",
            "address_2": "B3",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051065",
            "telephone_number": "229-242-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 N OAK STREET EXT",
            "address_2": "B3",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051065",
            "telephone_number": "229-242-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA TOXICOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "DRAMBEL",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-242-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Georgia Transitional Living Center (Distinct Minds Academy)
• South Georgia Upper Cervical Chiropractic, LLC (South Georgia Upper Cervical Chiropractic)
• South Georgia Vein Centers LLC
• South Health District (South Health District FP)
• South Health District (Lowndes Co Board of Health - Teen Center)

• Clinical Medical Laboratory in Valdosta, GA
• Providers in Valdosta, 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 Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.