Access Analytical Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

060-172 Issued in GA

Legal business name

ACCESS ANALYTICAL LABORATORY, LLC

Practice address

5239 W Fayetteville Rd
College Park, GA 30349-5413

Phone

(678) 379-4100

Fax

(404) 348-0221

NPI assigned

May 23, 2006

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marcia Alston

Title

Office Manager

Phone

(678) 379-4100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1447205349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 W FAYETTEVILLE RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495413",
            "telephone_number": "678-379-4100",
            "fax_number": "404-348-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 W FAYETTEVILLE RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495413",
            "telephone_number": "678-379-4100",
            "fax_number": "404-348-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS ANALYTICAL LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-379-4100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "060-172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in College Park, GA
• Providers in College Park, 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 Jan 17, 2013; 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.