Organization Active NPI

F B S Screening LLC

  • Clinical Medical Laboratory
  • Savannah, GA
National Provider Identifier
1609455468
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
F B S SCREENING LLC
Practice address
130 Tibet Ave Apt 203
Savannah, GA 31406-9030
Phone
(404) 798-4304
Fax
(912) 235-2694
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Darlene GordonNPI 1184221376
Title
Lab Director
Phone
(404) 798-4304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193200000X MULTI-SPECIALTY GROUP 247ZC0005X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

130 Tibet Ave Apt 203
Savannah, GA 31406-9030

Mailing address

130 Tibet Ave Apt 203
Savannah, GA 31406-9030
Phone (404) 798-4304

National Provider Directory

National Provider Directory

Locations

130 Tibet Ave
Apt 203
Savannah, GA 31406
Phone (404) 798-4304

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1609455468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TIBET AVE APT 203",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069030",
            "telephone_number": "404-798-4304",
            "fax_number": "912-235-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TIBET AVE APT 203",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069030",
            "telephone_number": "404-798-4304",
            "fax_number": "912-235-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F B S SCREENING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "404-798-4304"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.