Implicare Med Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMPLICARE MED LAB, LLC

Practice address

4844 Old National Hwy # a
College Park, GA 30337-6233

Phone

(678) 732-0222

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

Stacy JamesNPI 1306582564

Title

Owner

Phone

(678) 362-6342

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy James

  • Clinical Medical Laboratory
  • College Park, GA
  • NPI 1306582564
  NPD Authorized official

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1255077319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 SPRING DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4844 OLD NATIONAL HWY # A",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303376233",
            "telephone_number": "678-732-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLICARE MED LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-362-6342"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Implicaremedlab@implicaregroup.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4844 Old National Hwy # A",
            "city": "College Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303376233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Huffines, L/ATC
• Timothy Lyn Hunsucker, M.D.
• Toni-Ann Hunter
• Jasmine Huynh
• Impact Community Health Organization
• In Helping Hands LLC
• Independent Physical Therapy of Ga LLC
• Injured Workers Assistance Network
• Irie'S Behavioral Health Services
• Irie'S Home Care Services, Inc.

• Clinical Medical Laboratory in College Park, GA
• Providers in College Park, 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 May 10, 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.