Parkway Clinical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

031-032 Issued in GA

Legal business name

PARKWAY CLINICAL LABORATORY, INC.

Practice address

381 Forest Pkwy
Suite B
Forest Park, GA 30297-2165

Phone

(404) 362-1310

Fax

(404) 362-1355

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Jackson

Title

Lab Manager/Ceo

Phone

(404) 362-1310

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1528098787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 FOREST PKWY",
            "address_2": "SUITE B",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972165",
            "telephone_number": "404-362-1310",
            "fax_number": "404-362-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 FOREST PKWY",
            "address_2": "SUITE B",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972165",
            "telephone_number": "404-362-1310",
            "fax_number": "404-362-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY CLINICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "LAB MANAGER/CEO",
        "authorized_official_telephone_number": "404-362-1310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "031-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Forest Park, GA
• Providers in Forest Park, 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 19, 2007; 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.