Vedrus Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

056-010 Issued in GA

Legal business name

VEDRUS LABORATORIES

Practice address

175 Handley Rd
Suite 200
Tyrone, GA 30290-2155

Phone

(770) 681-0779

Fax

(678) 489-2907

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Pierce, LAB TECHNICIAN

Title

Owner

Phone

(770) 681-0779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1386076388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 HANDLEY RD",
            "address_2": "SUITE 200",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902155",
            "telephone_number": "770-681-0779",
            "fax_number": "678-489-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HANDLEY RD",
            "address_2": "SUITE 200",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902155",
            "telephone_number": "770-681-0779",
            "fax_number": "678-489-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDRUS LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-681-0779",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAB TECHNICIAN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "056-010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha B Trisler, P.T.
• Sonya Nesmith Tucker, LPC
• Toya Turner
• Tyrone Podiatry
• Genela Gissel Vallejo de Peter
• Cristina Helena Vergara
• Jasmine Vickers, RBT
• Wade Family Chiropractic LLC
• Mitchell-Lee Wade, DC
• Yolanda Wade, M.D.

• Clinical Medical Laboratory in Tyrone, GA
• Providers in Tyrone, 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 Aug 1, 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.