Nevada Medical Choice Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

11D1047326 Issued in GA

Legal business name

NEVADA MEDICAL CHOICE CORP

Doing business as

claripath laboratories

Practice address

985 Broad St
Ste a
Augusta, GA 30901-1286

Phone

(877) 437-2824

NPI assigned

Aug 12, 2010

Organization subpart

No

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

Authorized official

Name

Richard D Brobyn, M.D.

Title

President

Phone

(877) 437-2824

Specialties & licenses 1

Addresses

Other names 1

• claripath laboratories Doing business as

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1417262643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 S DURANGO DR",
            "address_2": "STE 111-26",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474163",
            "telephone_number": "877-437-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BROAD ST",
            "address_2": "STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011286",
            "telephone_number": "877-437-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA MEDICAL CHOICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "BROBYN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-437-2824",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D1047326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "claripath laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Augusta, GA
• Providers in Augusta, 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 Aug 12, 2010; 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.