Organization Active NPI

Atlanta Wide Mobile Testing, LLC

  • Allergy Physician
  • Atlanta, GA
National Provider Identifier
1679075873
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ATLANTA WIDE MOBILE TESTING, LLC
Practice address
2215 Cheshire Bridge Rd NE Ste C
Atlanta, GA 30324-4234
Phone
(404) 343-0088
Fax
(877) 779-5837
NPI assigned
Mar 2, 2018
Last updated
Mar 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Dr. Olujimi Oluwole, DO
Title
Physician
Phone
(404) 343-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X Primary

Addresses

Primary practice location

2215 Cheshire Bridge Rd NE Ste C
Atlanta, GA 30324-4234

Mailing address

2215 Cheshire Bridge Rd NE Ste C
Atlanta, GA 30324-4234
Phone (404) 343-0088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1679075873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 CHESHIRE BRIDGE RD NE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244234",
            "telephone_number": "404-343-0088",
            "fax_number": "877-779-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 CHESHIRE BRIDGE RD NE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244234",
            "telephone_number": "404-343-0088",
            "fax_number": "877-779-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA WIDE MOBILE TESTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "OLUWOLE",
        "authorized_official_first_name": "OLUJIMI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-343-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.