Elab Solutions Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ELAB SOLUTIONS CORPORATION

Practice address

5009 Roswell Rd
Sandy Springs, GA 30342-2223

Phone

(770) 988-9173

Fax

(770) 988-9943

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Marty Eutonne Smith Jr.

Title

President/Ceo

Phone

(770) 988-9173

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ELAB CONSULTING SERVICES, INC Former legal business name

Locations

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1275766370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 ROSWELL RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422223",
            "telephone_number": "770-988-9173",
            "fax_number": "770-988-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 ROSWELL RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422223",
            "telephone_number": "770-988-9173",
            "fax_number": "770-988-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAB SOLUTIONS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "EUTONNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-988-9173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124056A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELAB CONSULTING SERVICES, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kamiylah Sarai Ealy
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• Tiana Nicole Ebanks
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• Elite Care Concierge, LLC
• Elite Chiropractic LLC
• Elite Health Solutions, LLC
• Lashaun Denise Elliott, M.D.

• Clinical Medical Laboratory in Sandy Springs, GA
• Providers in Sandy 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 Feb 3, 2016; 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.