NPIMap

Organization Active NPI

Lifebrite Laboratories, LLC

  • Clinical Medical Laboratory
  • Brookhaven, GA
National Provider Identifier
1609273317
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LIFEBRITE LABORATORIES, LLC
Practice address
9 Corporate Blvd NE
Suite 150
Brookhaven, GA 30329-1908
Phone
(678) 433-0607
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Mr. Christian Fletcher
Title
Ceo
Phone
(678) 433-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9 Corporate Blvd NE
Suite 150
Brookhaven, GA 30329-1908

Mailing address

9 Corporate Blvd NE
Suite 150
Brookhaven, GA 30329-1908
Phone (678) 433-0607

National Provider Directory

National Provider Directory

Locations

9 Corporate Blvd NE
#150
Brookhaven, GA 30329
Phone (678) 433-0607

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1609273317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CORPORATE BLVD NE",
            "address_2": "SUITE 150",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291908",
            "telephone_number": "678-433-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CORPORATE BLVD NE",
            "address_2": "SUITE 150",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291908",
            "telephone_number": "678-433-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRITE LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-433-0607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.