Lab Test Unlimited, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB TEST UNLIMITED, INC

Doing business as

Georgia On Site Lab Testing

Practice address

125 W Taylor St
Griffin, GA 30223-3046

Phone

(770) 412-0077

Fax

(770) 412-1366

NPI assigned

Jun 14, 2012

Last updated

Jun 14, 2012By 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

Gwen Warshaw

Title

President

Phone

(770) 412-0077

Specialties & licenses 1

Addresses

Other names 1

• Georgia On Site Lab Testing Doing business as

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1619239738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W TAYLOR ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302233046",
            "telephone_number": "770-412-0077",
            "fax_number": "770-412-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W TAYLOR ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302233046",
            "telephone_number": "770-412-0077",
            "fax_number": "770-412-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB TEST UNLIMITED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "WARSHAW",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-412-0077"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia On Site Lab Testing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Griffin, GA
• Providers in Griffin, 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 14, 2012; 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.