Ilamae Price LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ILAMAE PRICE LLC

Practice address

612 Main St Ste 102
Palmetto, GA 30268-1149

Phone

(140) 455-1279

Fax

(678) 834-5529

NPI assigned

Oct 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ilamae PriceNPI 1154618221

Title

Director

Phone

(404) 551-2799

Specialties & licenses 1

Addresses

Other names 1

• LABORATORY DOCTORS NETWORK LLC Doing business as

Electronic endpoints 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Laboratory Doctors Network LLC

  • Clinical Medical Laboratory
  • Palmetto, GA
  • NPI 1780354183
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilamae Price

  • Clinical Medical Laboratory
  • Palmetto, GA
  • NPI 1154618221
  NPD Authorized official

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1508520115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MAIN ST STE 102",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681149",
            "telephone_number": "140-455-1279",
            "fax_number": "678-834-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MAIN ST STE 102",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681149",
            "telephone_number": "140-455-1279",
            "fax_number": "678-834-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILAMAE PRICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ILAMAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-551-2799"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LABCORP",
            "affiliation": "N",
            "endpointDescription": "LAB  DOCTORS REPORTS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "612 Main St Ste 102",
            "city": "Palmetto",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302681149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LABORATORY DOCTORS NETWORK LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Palmetto, GA
• Providers in Palmetto, 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 Oct 29, 2021; 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.