Active NPI
Pathology Lab of Georgia, LLC
- Clinical Medical Laboratory
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PATHOLOGY LAB OF GEORGIA, LLC
- Practice address
- 428 Winn CT
Decatur, GA 30030-1726 - Phone
- (404) 917-1770
- Fax
- (404) 446-0296
- NPI assigned
- Mar 13, 2007
- Last updated
- Apr 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David N. Helfman, DPM
- Title
- Ceo
- Phone
- (770) 384-0284
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
428 Winn CT
Decatur, GA 30030-1726
Mailing address
900 Circle 75 Parkway
Suite 900
Atlanta, GA 30339-3084
Phone (770) 384-0284
Other names 1
- Podiatry Pathology Lab of Georgia LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1068102 | Pathology Lab of Georgia | Accreditation | Sep 22, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3969 S Cobb Dr SE
Ste 102
Smyrna, GA 30080
Phone (770) 319-5502
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Podiatrist
- Smyrna, GA
- NPI 1629073481
-
- Podiatrist
- Austell, GA
- NPI 1871583609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459900800000",
"number": "1497888499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PARKWAY",
"address_2": "SUITE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393084",
"telephone_number": "770-384-0284",
"fax_number": "404-446-1957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 WINN CT",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301726",
"telephone_number": "404-917-1770",
"fax_number": "404-446-0296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHOLOGY LAB OF GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2016-04-06",
"status": "A",
"authorized_official_last_name": "HELFMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-384-0284",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Podiatry Pathology Lab of Georgia LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.