Citizen's Diagnostic Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CITIZEN'S DIAGNOSTIC LABORATORY

Practice address

5860 Love St
Austell, GA 30168-4044

Phone

(770) 941-5151

Fax

(770) 941-5152

NPI assigned

Nov 20, 2006

Last updated

Mar 24, 2009By 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. Nixon Ukenna Onyirimba

Title

Medical Technologist

Phone

(770) 941-5151

Specialties & licenses 1

Addresses

Locations

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.

• Cathryn B Johnson, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Atlanta, GA
  • NPI 1316048812
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1497829279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301681057",
            "telephone_number": "770-941-5151",
            "fax_number": "770-941-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 LOVE ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684044",
            "telephone_number": "770-941-5151",
            "fax_number": "770-941-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZEN'S DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "ONYIRIMBA",
        "authorized_official_first_name": "NIXON",
        "authorized_official_middle_name": "UKENNA",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "770-941-5151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harini Chittineni, MD
• Sarah Choi-Wilbur
• Leslie A Choy-Hee, MD
• Renee Christie
• Nancy Chung, PHYSICIAN ASSISTANT
• James W Clabby, M.D.
• Grace Clark, AGPCNP-B
• Michael A Clark, PA
• Zaccardo K Clark, NP
• Celeste Arianna Clarke, LMT

• Clinical Medical Laboratory in Austell, GA
• Providers in Austell, 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 Mar 24, 2009; 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.