E-Squared Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

E-SQUARED LAB LLC

Practice address

980 Baltic Way
Lithonia, GA 30058-5970

Phone

(404) 368-2322

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Shanetta Shaunta Atkins, BSN

Title

Registered Nurse

Phone

(404) 368-2322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1609537265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 BALTIC WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585970",
            "telephone_number": "404-368-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 BALTIC WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585970",
            "telephone_number": "404-368-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-SQUARED LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "SHANETTA",
        "authorized_official_middle_name": "SHAUNTA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "404-368-2322",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Dunbar, NP
• Allysja Jhordana Duncan, PA
• Sibyl Monique Duncan, M.D.
• Wallace Duncan, M.D.
• Bianca Rose Durant
• Matthew Creig Eady, PTA
• Natia Eason
• East Atlanta Gynecology Associates PC
• Eastside Allied Health, LLC
• Eastside Medical Supply LLC

• Clinical Medical Laboratory in Lithonia, GA
• Providers in Lithonia, 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 Jan 6, 2022; 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.