Organization Active NPI

Field Labs Diagnostics

  • Clinical Medical Laboratory
  • Riverdale, GA
National Provider Identifier
1609692128
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FIELD LABS DIAGNOSTICS
Practice address
804 Commerce Blvd
Riverdale, GA 30296-7198
Phone
(404) 452-2817
NPI assigned
Nov 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
April R Paulk, CPT, CNANPI 1699591115
Title
Owner
Phone
(404) 452-2817

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 Medical Laboratory 291U00000X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

804 Commerce Blvd
Riverdale, GA 30296-7198

Mailing address

35 Summer Leigh Dr
Stockbridge, GA 30281-5895
Phone (404) 452-2817

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2313968Field Labs Diagnostics804 Commerce Boulevard, Riverdale, GA 30296Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory

Locations

804 Commerce Blvd
Riverdale, GA 30296
Phone (404) 452-2817

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": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1609692128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUMMER LEIGH DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815895",
            "telephone_number": "404-452-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 COMMERCE BLVD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967198",
            "telephone_number": "404-452-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELD LABS DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-452-2817",
        "authorized_official_credential": "CPT, CNA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.