Purposeful Health & Lab Solutions, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PURPOSEFUL HEALTH & LAB SOLUTIONS, LLC

Practice address

1115 Mount Zion Rd Ste 10
Morrow, GA 30260-2241

Phone

(770) 917-2570

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Adriene Zackery, NURSE

Title

Ceo/Owner

Phone

(770) 703-6979

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Adrienne Zackery, CEO, NURSE

  • Licensed Practical Nurse
  • Morrow, GA
  • NPI 1407508344
  NPD

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1437802188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD STE 10",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602241",
            "telephone_number": "770-917-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD STE 10",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602241",
            "telephone_number": "770-917-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSEFUL HEALTH & LAB SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "ZACKERY",
        "authorized_official_first_name": "ADRIENE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-703-6979",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Morrow, GA
• Providers in Morrow, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.