Organization Active NPI

Cnu Medical LLC

  • Clinical Medical Laboratory
  • Norcross, GA
National Provider Identifier
1437661592
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CNU MEDICAL LLC
Practice address
5855 Jimmy Carter Blvd Ste 190
Norcross, GA 30071-4610
Phone
(678) 879-0721
Fax
(678) 893-0942
NPI assigned
Oct 30, 2017
Last updated
Oct 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Emelia Ada Orubele, RPH, CPHTNPI 1134687775
Title
Director
Phone
(678) 879-0721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5855 Jimmy Carter Blvd Ste 190
Norcross, GA 30071-4610

Mailing address

5855 Jimmy Carter Blvd Ste 190
Norcross, GA 30071-4610
Phone (678) 879-0721

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2144842Cnu Medical, LLC5855 Jimmy Carter Blvd, Suite 190, Norcross, GA 30071RegistrationDec 30, 2026

National Provider Directory

National Provider Directory

Locations

5855 Jimmy Carter Blvd
Ste 190
Norcross, GA 30071
Phone (678) 879-0721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1437661592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 JIMMY CARTER BLVD STE 190",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714610",
            "telephone_number": "678-879-0721",
            "fax_number": "678-893-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 JIMMY CARTER BLVD STE 190",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714610",
            "telephone_number": "678-879-0721",
            "fax_number": "678-893-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNU MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "ORUBELE",
        "authorized_official_first_name": "EMELIA",
        "authorized_official_middle_name": "ADA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-879-0721",
        "authorized_official_credential": "RPH, CPHT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.