Reset Diagnostic LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RESET DIAGNOSTIC LLC

Practice address

1301 Round Rock CT
Conyers, GA 30012-6505

Phone

(215) 971-0610

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Sheena C Ballard

Title

Ceo

Phone

(215) 971-0610

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1679222327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ROUND ROCK CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300126505",
            "telephone_number": "215-971-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUND ROCK CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300126505",
            "telephone_number": "215-971-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESET DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-971-0610"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Delaine Reid
• Igor Reizenson, DDS
• Reliance Private Homecare
• Remedy Home Therapy
• Renew Tranquility, LLC
• Reset Homecare Ga LLC
• Restoring Wellness Counseling
• Restoring Wellness Counseling LLC
• Rextox Consultant LLC (Retox Healing Hands Pharmacy)
• Nicholas Peter Kevin Reynolds, BSRN

• Clinical Medical Laboratory in Conyers, GA
• Providers in Conyers, 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 Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.