Active NPI
L.T. Exams, Inc
Doing business as MedicExams
- Clinical Medical Laboratory
- Riverdale, GA
National Provider Identifier
1417134636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 07-23687
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.