Legend Mobile Notary Services, LLC D/B/a Legend Screening & Diagnostics Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LEGEND MOBILE NOTARY SERVICES, LLC D/B/A LEGEND SCREENING & DIAGNOSTICS SERVICES

Practice address

1700 Pennsylvania Ave Ste 103
McDonough, GA 30253-9128

Phone

(470) 399-1217

Fax

(470) 993-1211

NPI assigned

Jul 2, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey Moore

Title

Owner

Phone

(470) 399-1217

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1396662979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE STE 103",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539128",
            "telephone_number": "470-399-1217",
            "fax_number": "470-993-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE STE 103",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539128",
            "telephone_number": "470-399-1217",
            "fax_number": "470-993-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND MOBILE NOTARY SERVICES, LLC D/B/A LEGEND SCREENING & DIAGNOSTICS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-399-1217",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Peter Lee, DMD
• Jessica Melissa Lee, NP
• Natasha M Lee, DMD
• T'Osha Lee
• Legacy Wellness Group Inc.
• Julie Marie Lemen, CNP
• Constance Cook Lerner, M.S., L.P.C.
• Everick Scott Lesane, PHD, LPC
• Shasta Leslie
• Coy Leverette III, MPT DPT

• Clinical Medical Laboratory in McDonough, GA
• Providers in McDonough, 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 Sep 7, 2026; 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.