TLD Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TLD LABS LLC

Practice address

7254 Sinyard Rd
Lithia Springs, GA 30122-2532

Phone

(678) 886-0570

NPI assigned

Jan 24, 2022

Last updated

Jan 25, 2022By 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

Terry Dickerson, RNNPI 1699430371

Title

Lab Director

Phone

(678) 886-0570

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Dickerson, RN

  • Registered Nurse
  • Lithia Springs, GA
  • NPI 1699430371
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1235881087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 SINYARD RD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222532",
            "telephone_number": "678-886-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 SINYARD RD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222532",
            "telephone_number": "678-886-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLD LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "678-886-0570",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel Tulman, OD
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• Clinical Medical Laboratory in Lithia Springs, GA
• Providers in Lithia 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 Jan 25, 2022; 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.