Organization Active NPI

All Clinical Labs Phase 1 Inc

  • Clinical Medical Laboratory
  • Stockbridge, GA
National Provider Identifier
1346571544
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2010004 Issued in GA
Legal business name
ALL CLINICAL LABS PHASE 1 INC
Doing business as
All Clinical Labs Phase 1 INC
Practice address
87 Highway 138 W
Stockbridge, GA 30281-4293
Phone
(678) 743-5503
Fax
(678) 743-5503
NPI assigned
Jan 27, 2010
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Mrs. Olla Perry, PHLEB TECHNOLOGISTS
Title
Founder
Phone
(678) 743-5503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2010004 GA Primary

Addresses

Primary practice location

87 Highway 138 W
Stockbridge, GA 30281-4293

Mailing address

87 Highway 138 W
Stockbridge, GA 30281-4293
Phone (678) 743-5503

Other names 1

  • All Clinical Labs Phase 1 INC Doing business as

National Provider Directory

National Provider Directory

Locations

31 Highway 138 W
Ste 250
Stockbridge, GA 30281
Phone (678) 743-5503

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1346571544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HIGHWAY 138 W",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814293",
            "telephone_number": "678-743-5503",
            "fax_number": "678-743-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HIGHWAY 138 W",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814293",
            "telephone_number": "678-743-5503",
            "fax_number": "678-743-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CLINICAL LABS PHASE 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "OLLA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "678-743-5503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHLEB TECHNOLOGISTS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "2010004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Clinical Labs Phase 1 INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.