Forman Lab & Screening Services

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

FORMAN LAB & SCREENING SERVICES

Practice address

109 Anderson St SE Ste 100C
Marietta, GA 30060-8610

Phone

(770) 765-9472

Fax

(770) 800-8147

NPI assigned

Oct 1, 2025

Organization subpart

No

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

Authorized official

Name

Symphony FormanNPI 1457242257

Title

Owner

Phone

(770) 765-9472

Specialties & licenses 1

Addresses

Locations

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

• Symphony Deseray Forman

  • Phlebotomy Technician
  • Marietta, GA
  • NPI 1457242257

  Phlebotomy

  NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1285508374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ANDERSON ST SE STE 100C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608610",
            "telephone_number": "770-765-9472",
            "fax_number": "770-800-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANDERSON ST SE STE 100C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608610",
            "telephone_number": "770-765-9472",
            "fax_number": "770-800-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMAN LAB & SCREENING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "SYMPHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-765-9472"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ford, PT
• Delphine Fordham, RBT
• Dakotah Rose Forell
• Joseph Forese, DC
• Forever Active Medical, L.L.C.
• Jodi Ellen Forman, LCSW
• Symphony Deseray Forman
• Luis Enrique Fornia, DC
• Farhad Foroutan
• Mary Eloise Fort

• All providers in Marietta, GA
• Phlebotomy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.