Long Haul Clinic, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LONG HAUL CLINIC, LLC

Practice address

10945 State Bridge Rd
Suite 401, Room 358
Alpharetta, GA 30022-8164

Phone

(678) 749-7803

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ken Karegeannes

Title

Coo

Phone

(678) 749-7803

Specialties & licenses 1

Addresses

Other names 1

• Roadside Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1275724486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 STATE BRIDGE RD",
            "address_2": "SUITE 401, ROOM 358",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228164",
            "telephone_number": "678-749-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 STATE BRIDGE RD",
            "address_2": "SUITE 401, ROOM 358",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228164",
            "telephone_number": "678-749-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG HAUL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "KAREGEANNES",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-749-7803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roadside Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Loftus, DC
• Katrina L Lokken, PSY.D.
• Zach Lombardo, P.T DPT
• Maria Fernanda Londono, LCSW
• Long H. Le, M.D.,P.C.
• Caroline Long, CRNA
• Carrington Anne Long, M.S. CCC-SLP
• Steven Brenisen Long, M.D.
• Madison Longchamp
• Valentina Liliana Lopez-Crevillen

• Urgent Care Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.