Teila Tyler, OWNER

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

2274 Salem Rd SE Ste 106-1336
Conyers, GA 30013-2097

Phone

(770) 407-9923

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teila Property Management LLC

  • Clinical Medical Laboratory
  • Conyers, GA
  • NPI 1144805177
  NPD Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1275118200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 FONTAINBLEAU DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944842",
            "telephone_number": "770-407-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 SALEM RD SE STE 106-1336",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132097",
            "telephone_number": "770-407-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "TEILA",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.MLTYLERMSN.COM",
            "affiliation": "N",
            "address_1": "2274 Salem Rd SE Ste 106-1336",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300132097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rocelyn Turner
• Kiren Tushar, NP
• Valencia Tutein
• Maesha Marie Twyner, MD/MPH
• Jini F. P. Tyler, LCSW
• Stephen Charles Tyson
• U-Family Medicine and Weight Loss Center LLC
• U-Go LTD. Co
• Chidinma Onyinye Ukadike, MD
• Omosome Uloghobui, RN ,BSN

• Clinical Medical Laboratory in Conyers, GA
• Providers in Conyers, 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 Mar 11, 2021; 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.