Integrity Garden Diagnostic and Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTEGRITY GARDEN DIAGNOSTIC AND LAB LLC

Practice address

2763 Highway 138 E Ste a
Jonesboro, GA 30236-2763

Phone

(770) 703-1387

Fax

(770) 302-0380

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Sagittarius Conerly

Title

Executive Director/Owner

Phone

(770) 703-1387

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1467292235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 HIGHWAY 138 E STE A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362763",
            "telephone_number": "770-703-1387",
            "fax_number": "770-302-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 HIGHWAY 138 E STE A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362763",
            "telephone_number": "770-703-1387",
            "fax_number": "770-302-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY GARDEN DIAGNOSTIC AND LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "CONERLY",
        "authorized_official_first_name": "SAGITTARIUS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "770-703-1387"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Jonesboro, GA
• Providers in Jonesboro, 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 May 29, 2024; 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.