NPIMap

Organization Active NPI

Diagnostic Go Mobile

  • Phlebotomy Technician
  • McDonough, GA
National Provider Identifier
1467904334
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
DIAGNOSTIC GO MOBILE
Practice address
922 Highway 81 E
Ste 236
McDonough, GA 30252-2978
Phone
(678) 613-9802
Fax
(770) 957-1287
NPI assigned
Oct 26, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Tawana ParrishNPI 1962951806
Title
Owne/ Phlebotomy
Phone
(678) 613-9802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

922 Highway 81 E
Ste 236
McDonough, GA 30252-2978

Mailing address

922 Highway 81 E
Ste 236
McDonough, GA 30252-2978
Phone (678) 613-9802

National Provider Directory

National Provider Directory

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1467904334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 81 E",
            "address_2": "STE 236",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522978",
            "telephone_number": "678-613-9802",
            "fax_number": "770-957-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 81 E",
            "address_2": "STE 236",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522978",
            "telephone_number": "678-613-9802",
            "fax_number": "770-957-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC GO MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_title_or_position": "OWNE/ PHLEBOTOMY",
        "authorized_official_telephone_number": "678-613-9802"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.