SLM Drug Screening Services LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

SLM DRUG SCREENING SERVICES LLC

Practice address

113 S Perry Street Suite 206 #8078
Lawrenceville, GA 30046

Phone

(912) 403-1385

Fax

(912) 557-6039

NPI assigned

Sep 11, 2024

Organization subpart

No

Name

Mrs. Shawana Lanita Moore

Title

Phlebotomist/Owner

Phone

(912) 403-1385

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2024.

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1497581979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S PERRY STREET SUITE 206 #8078",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "912-403-1385",
            "fax_number": "912-557-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S PERRY STREET SUITE 206 #8078",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "912-403-1385",
            "fax_number": "912-557-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLM DRUG SCREENING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHAWANA",
        "authorized_official_middle_name": "LANITA",
        "authorized_official_title_or_position": "PHLEBOTOMIST/OWNER",
        "authorized_official_telephone_number": "912-403-1385",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.