Organization Active NPI

Solstas Lab Partners Group LLC

  • Clinical Medical Laboratory
  • Valdosta, GA
National Provider Identifier
1407850985
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
092002 Issued in GA
Legal business name
SOLSTAS LAB PARTNERS GROUP LLC
Practice address
2906 Julia Dr
Valdosta, GA 31602-1435
Phone
(229) 244-4468
Fax
(229) 249-8191
NPI assigned
Jun 13, 2005
Organization subpart
Yes
Parent organization
QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Wilson Conde
Title
Vice President
Phone
(800) 227-0446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 092002 GA Primary

Addresses

Primary practice location

2906 Julia Dr
Valdosta, GA 31602-1435

Mailing address

1201 S Collegeville Rd
Collegeville, PA 19146-2998
Phone (610) 454-6147

Other identifiers 7

IdentifierTypeStateIssuer
L00065MedicaidSC
L8165OtherFLBLUE CROSS BLUE SHIELD FL
00057164AMedicaidGA
52183605OtherGABLUE CROSS BLUE SHIELD GA
600-27858OtherALBLUE CROSS BLUE SHIELD AL
030253800MedicaidFL
065023369MedicaidAL

National Provider Directory

National Provider Directory
Part of
Questdiagnost Ic Inc

Locations (25 of 66)

2728 10th Ave S
Ste 200
Birmingham, AL 35205
Phone (205) 939-7880

31040 1st Ave NE
#3
Carbon Hill, AL 35549
Phone (205) 924-1226

1446 Jones Dairy Rd
Jasper, AL 35501
Phone (205) 384-3878

463 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 279-5412

100 Rice Mine Road Loop
Ste 103
Tuscaloosa, AL 35406
Phone (205) 248-9894

4081 SW 47th Ave
Ste 14
Davie, FL 33314
Phone (954) 430-5775

3601 SW 2nd Ave
Ste B
Gainesville, FL 32607
Phone (352) 371-7594

2086 SW Main Blvd
Ste 103
Lake City, FL 32025
Phone (352) 283-0595

150 SE 17th St
Ste 302
Ocala, FL 34471
Phone (352) 732-7584

1108 N Jefferson St
Albany, GA 31701
Phone (912) 432-5628

1112 Plaza Ave
Ste A
Eastman, GA 31023
Phone (478) 374-4473

1000 Cowles Clinic Way
Bldg 2ND
Greensboro, GA 30642
Phone (912) 244-4468

3200 Riverside Dr
Ste 300
Macon, GA 31210
Phone (478) 745-6801

1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565

5885 Glenridge Dr
Ste 250
Sandy Springs, GA 30328
Phone (404) 252-7226

341 Northside Dr
Valdosta, GA 31602
Phone (888) 664-7601

2906 Julia Dr
Valdosta, GA 31602
Phone (229) 244-4468

1050 River Oaks Dr
Ste 120
Flowood, MS 39232
Phone (601) 933-8600

204 Ashville Ave
Ste 20
Cary, NC 27518
Phone (919) 233-1132

300 Keisler Dr
Ste 202
Cary, NC 27518
Phone (919) 233-0059

105 Kilmayne Dr
Ste 105
Cary, NC 27511
Phone (704) 344-1000

105 Kilmayne Dr
#105
Cary, NC 27511
Phone (704) 344-1000

14215 Ballantyne Corporate Pl
Ste 120
Charlotte, NC 28277
Phone (704) 384-1898

5815 Blakeney Park Dr
#200D
Charlotte, NC 28277
Phone (704) 316-2590

1918 Randolph Rd
#140
Charlotte, NC 28207
Phone (704) 316-4170

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1407850985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S COLLEGEVILLE RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "191462998",
            "telephone_number": "610-454-6147",
            "fax_number": "484-676-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 JULIA DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021435",
            "telephone_number": "229-244-4468",
            "fax_number": "229-249-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLSTAS LAB PARTNERS GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2005-06-13",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "CONDE",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-227-0446"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "092002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L00065",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "L8165",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00057164A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GA",
            "identifier": "52183605",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "600-27858",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030253800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065023369",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.