Ispm Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ISPM LABS, LLC

Doing business as

Capstone Diagnostics LLC

Practice address

8601 Dunwoody PL Ste 444
Atlanta, GA 30350

Phone

(678) 515-4524

NPI assigned

Apr 23, 2014

Last updated

May 24, 2018By 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

Mr. Andrew Maloney

Title

Owner

Phone

(678) 515-4524

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capstone Diagnostics LLC Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Interventional Spine and Pain Management Center, PC

  dba Alliance Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Suwanee, GA
  • NPI 1467014936

  Member Of

  NPD member

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1497175905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743943",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743943",
            "telephone_number": "678-515-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 DUNWOODY PL STE 444",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30350",
            "telephone_number": "678-515-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISPM LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-515-4524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D2073885",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Diagnostics LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capstone Diagnostics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Viorel Stefan Ispas, LPC, AMFT
• Ispeak Therapy Services LLC
• Ispm ASC at Camp Creek LLC
• Ispm ASC at Camp Creek LLC (Alliance Surgery Center at Camp Creek)
• Ispm ASC at Piedmont, LLC
• Jamie Meredith Israel
• Nasayah Israel
• Marlyne K. Israelian, PH.D.
• Melissa Issa-Boube, MS
• Samira Issa-Boube

• Clinical Medical Laboratory in Atlanta, GA
• Providers in Atlanta, 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 24, 2018; 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.