Organization Active NPI

Gomedical Labs LLC

  • Phlebotomy Technician
  • Snellville, GA
National Provider Identifier
1639030752
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
GOMEDICAL LABS LLC
Practice address
2341 Henry Clower Blvd Ste D
Snellville, GA 30078-7420
Phone
(470) 406-6994
Fax
(770) 680-5324
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Kentrice Cunningham-LondonNPI 1104409663
Title
Owner
Phone
(943) 259-2488

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

2341 Henry Clower Blvd Ste D
Snellville, GA 30078-7420

Mailing address

3177 Misty View TRL
Lilburn, GA 30047-1832
Phone (943) 259-2488

National Provider Directory

National Provider Directory

Locations

2341 Henry Clower Blvd
Ste D
Snellville, GA 30078
Phone (470) 406-6994

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": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1639030752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3177 MISTY VIEW TRL",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471832",
            "telephone_number": "943-259-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 HENRY CLOWER BLVD STE D",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787420",
            "telephone_number": "470-406-6994",
            "fax_number": "770-680-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEDICAL LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM-LONDON",
        "authorized_official_first_name": "KENTRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "943-259-2488"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.