Active NPI
Victory Medical Services LLC
- Phlebotomy Technician
- Buford, GA
National Provider Identifier
1508703984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 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 DirectoryLocations
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.