Premium Security Portamedic Lab LC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIUM SECURITY PORTAMEDIC LAB LC

Practice address

3480 Preston Ridge Rd # 578
Alpharetta, GA 30005-2028

Phone

(229) 603-8563

NPI assigned

Jun 22, 2026

Last updated

Jun 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrice Neale

Title

Owner

Phone

(229) 603-8563

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1609702075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 PRESTON RIDGE RD # 578",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052028",
            "telephone_number": "229-603-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 PRESTON RIDGE RD # 578",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052028",
            "telephone_number": "229-603-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM SECURITY PORTAMEDIC LAB LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "NEALE",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-603-8563"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Internal Medicine of Alpharetta, PC
• Premise Health of Georgia Medical PC (AT&T Alpharetta)
• Premise Health of Georgia Medical PC (Wellness Center)
• Premise Health of Georgia Medical PC (Jackson - Alpharetta)
• Premium Security Portamedic
• Whitney Prescott, L.M.T.
• Presidential Home Care LLC
• Prestige JS Private Home Care LLC
• Monica Megan Prestigiacomo, LPC GA 3057
• Preston Ridge Dermatology, PC

• Clinical Medical Laboratory in Alpharetta, GA
• Providers in Alpharetta, 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 Jun 22, 2026; 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.