Diagnostic Go Mobile

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

Organization subpart

No

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

Authorized official

Name

Tawana Parrish

Title

Owne/ Phlebotomy

Phone

(678) 613-9802

Specialties & licenses 1

Addresses

Locations

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": []
}

• Rohan Desai, M.D.
• Rolin Desir, DDS
• Ronald Desvarieux Jr., PHARMD
• Esraa F Dhabaan, M.D
• Sravan Dhulipala, M.D.
• Raymond Scott Dickerson, PA-C
• Shanice Nicole Dickerson
• Sarah Dickinson, DMD
• Kimberly Faith Dillard, N.P.
• Althea Charity Dimaculangan, NP-C

• Phlebotomy Technician in McDonough, GA
• Providers in McDonough, GA by specialty
• Phlebotomy Technician in Georgia

• 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.