Medalert,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2266 Issued in GA

Legal business name

MEDALERT,LLC

Practice address

1240 Highway 54 W
Suite 102
Fayetteville, GA 30214-4557

Phone

(770) 892-1821

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Patrick Ogbebor

Title

Administrator

Phone

(770) 892-1821

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1356773436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144557",
            "telephone_number": "770-892-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALERT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "OGBEBOR",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-892-1821"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Fayetteville, GA
• Providers in Fayetteville, 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 Jul 31, 2013; 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.