Active NPI
Elina Labs LLC
- Clinical Medical Laboratory
- Norcross, GA
National Provider Identifier
1316530686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.