Organization Active NPI

Compassionate Cares Outreach Laboratory Services LLC

  • Clinical Medical Laboratory
  • Dallas, GA
National Provider Identifier
1396447140
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COMPASSIONATE CARES OUTREACH LABORATORY SERVICES LLC
Practice address
1068 Merchants Dr Apt 416
Dallas, GA 30132-2969
Phone
(470) 891-0940
NPI assigned
Mar 17, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Mrs. Sabrina Nicole Sutton, CCMANPI 1003515024
Title
Owner
Phone
(470) 891-0940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1068 Merchants Dr Apt 416
Dallas, GA 30132-2969

Mailing address

1068 Merchants Dr Apt 416
Dallas, GA 30132-2969
Phone (470) 891-0940

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1396447140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 MERCHANTS DR APT 416",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301322969",
            "telephone_number": "470-891-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 MERCHANTS DR APT 416",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301322969",
            "telephone_number": "470-891-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARES OUTREACH LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-891-0940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.