PM Lab Source

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PM LAB SOURCE

Practice address

8201 Preservation TRL
Midland, GA 31820-3667

Phone

(706) 914-8400

NPI assigned

Apr 30, 2022

Last updated

Apr 30, 2022By 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

Patricia McLaughlin, NP

Title

Director

Phone

(706) 914-8400

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651276800000",
    "number": "1508501941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESERVATION TRL",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318203667",
            "telephone_number": "706-914-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESERVATION TRL",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318203667",
            "telephone_number": "706-914-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM LAB SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-914-8400",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477713675",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Midland, GA
• Providers in Midland, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; 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.