Organization Active NPI

Cambridge Labs,LLC

Doing business as Augusta Wellness Center

  • Pain Clinic/Center
  • Augusta, GA
National Provider Identifier
1407131899
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
CAMBRIDGE LABS,LLC
Doing business as
Augusta Wellness Center
Practice address
611 15TH St
Augusta, GA 30901-2601
Phone
(706) 821-6880
Fax
(706) 823-8261
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Ms. Maureen Altman
Title
Administrator/Director/Coordinator
Phone
(706) 821-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

611 15TH St
Augusta, GA 30901-2601

Mailing address

611 15TH St
Augusta, GA 30901-2601
Phone (706) 821-6880

Other names 1

  • Augusta Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

611 15th St
Augusta, GA 30901
Phone (706) 821-6880

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1407131899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012601",
            "telephone_number": "706-821-6880",
            "fax_number": "706-823-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012601",
            "telephone_number": "706-821-6880",
            "fax_number": "706-823-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE LABS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR/COORDINATOR",
        "authorized_official_telephone_number": "706-821-6880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

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