Organization Active NPI

Victory Medical Services LLC

  • Phlebotomy Technician
  • Buford, GA
National Provider Identifier
1508703984
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
VICTORY MEDICAL SERVICES LLC
Practice address
2675 Mall of Georgia Blvd Ste 304
Buford, GA 30519-8783
Phone
(404) 453-6010
Fax
(470) 742-7404
NPI assigned
May 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Authorized official

Name
Tabitha Lopez
Title
Ceo
Phone
(404) 453-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

2675 Mall of Georgia Blvd Ste 304
Buford, GA 30519-8783

Mailing address

2675 Mall of Georgia Blvd Ste 304
Buford, GA 30519-8783
Phone (404) 453-6010

National Provider Directory

National Provider Directory

Locations

2675 Mall of Georgia Blvd
Ste 304
Buford, GA 30519
Phone (404) 453-6010

NPI Registry JSON

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777680000000",
    "number": "1508703984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 MALL OF GEORGIA BLVD STE 304",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198783",
            "telephone_number": "404-453-6010",
            "fax_number": "470-742-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 MALL OF GEORGIA BLVD STE 304",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198783",
            "telephone_number": "404-453-6010",
            "fax_number": "470-742-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-453-6010"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; 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.