Organization Active NPI

L.T. Exams, Inc

Doing business as MedicExams

  • Clinical Medical Laboratory
  • Riverdale, GA
National Provider Identifier
1417134636
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
07-23687 Issued in GA
Legal business name
L.T. EXAMS, INC
Doing business as
MedicExams
Practice address
804 Commerce Blvd
Ste D
Riverdale, GA 30296-7198
Phone
(770) 996-4724
Fax
(770) 994-1900
NPI assigned
Jan 30, 2008
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Mrs. Tamika Blue
Title
Cfo
Phone
(770) 996-4724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 07-23687 GA Primary

Addresses

Primary practice location

804 Commerce Blvd
Ste D
Riverdale, GA 30296-7198

Mailing address

804 Commerce Blvd
Ste D
Riverdale, GA 30296-7198
Phone (770) 996-4724

Other names 1

  • MedicExams Doing business as

National Provider Directory

National Provider Directory

Locations

804 Commerce Blvd
Ste D
Riverdale, GA 30296
Phone (770) 996-4724

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1417134636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 COMMERCE BLVD",
            "address_2": "STE D",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967198",
            "telephone_number": "770-996-4724",
            "fax_number": "770-994-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 COMMERCE BLVD",
            "address_2": "STE D",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967198",
            "telephone_number": "770-996-4724",
            "fax_number": "770-994-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.T. EXAMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-996-4724",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "07-23687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedicExams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.