Organization Active NPI

Elina Labs LLC

  • Clinical Medical Laboratory
  • Norcross, GA
National Provider Identifier
1316530686
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ELINA LABS LLC
Practice address
5380 Peachtree Industrial Blvd Ste 200
Norcross, GA 30071-1592
Phone
(770) 807-0466
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Henry Hongjun Ji
Title
Owner
Phone
(770) 807-0466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5380 Peachtree Industrial Blvd Ste 200
Norcross, GA 30071-1592

Mailing address

5380 Peachtree Industrial Blvd Ste 200
Norcross, GA 30071-1592

National Provider Directory

National Provider Directory

Locations

5380 Peachtree Industrial Blvd
Ste 200
Norcross, GA 30071
Phone (770) 807-0466

5380 Peachtree Industrial Blvd
Ste S200
Norcross, GA 30071
Phone (706) 391-4775

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1316530686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711592",
            "telephone_number": "770-807-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELINA LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "JI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "HONGJUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-807-0466"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.