Northrange Clinical Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTHRANGE CLINICAL LABS

Practice address

2126 Grant Ave
McDonough, GA 30252-7696

Phone

(239) 272-1666

NPI assigned

Jan 12, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Diamond Webb I, ETC

Title

Owner

Phone

(239) 272-1666

Specialties & licenses 1

Addresses

Tax ID family

Northrange Clinical Labs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northrange Clinical Labs

  • Durable Medical Equipment & Medical Supplies
  • Lantana, FL
  • NPI 1073434510
  NPD tax ID

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1245198985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 GRANT AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302527696",
            "telephone_number": "239-272-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 GRANT AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302527696",
            "telephone_number": "239-272-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRANGE CLINICAL LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "DIAMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-272-1666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Shanita Nichols
• Dawn Niles
• Nina'S Nutritional Values, LLC
• Catherine A Nkongho, NP
• Jackelyn Norales
• Edna Mae Norwood II
• Nurse Pro Staffing, Inc.
• Nurses 4 You at Home LLC
• Anthony O'Meara, M.D.
• Kayla Oates

• Clinical Medical Laboratory in McDonough, GA
• Providers in McDonough, 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 12, 2026; 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.