NPIMap

Organization Active NPI

Parasitic Disease Consultants

  • Clinical Medical Laboratory
  • Tucker, GA
National Provider Identifier
1609887710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
044-041 Issued in GA
Legal business name
PARASITIC DISEASE CONSULTANTS
Practice address
2177 Flintstone Dr Ste J
Tucker, GA 30084-5000
Phone
(770) 496-1370
Fax
(770) 938-7189
NPI assigned
Aug 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Irving George Kagan, PH.D.
Title
Laboratory Director Owner
Phone
(770) 496-1370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 044-041 GA Primary

Addresses

Primary practice location

2177 Flintstone Dr Ste J
Tucker, GA 30084-5000

Mailing address

2177 Flintstone Dr Ste J
Tucker, GA 30084-5000
Phone (770) 496-1370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609887710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 FLINTSTONE DR STE J",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845000",
            "telephone_number": "770-496-1370",
            "fax_number": "770-938-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 FLINTSTONE DR STE J",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845000",
            "telephone_number": "770-496-1370",
            "fax_number": "770-938-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARASITIC DISEASE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR OWNER",
        "authorized_official_telephone_number": "770-496-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "044-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.