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

Organization subpart

No

Name

Patricia McLaughlin, NP

Title

Director

Phone

(706) 914-8400

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2022.

{
    "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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• All providers in Midland, GA
• 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.