NPIMap

Organization Active NPI

Castle Medical, LLC

  • Clinical Medical Laboratory
  • Smyrna, GA
National Provider Identifier
1679970248
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CASTLE MEDICAL, LLC
Practice address
5700 Highlands Pkwy SE
Suite 100
Smyrna, GA 30082-5142
Phone
(678) 486-7340
Fax
(678) 486-7350
NPI assigned
Nov 26, 2014
Organization subpart
Yes
Parent organization
CASTLE MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Scott Damron
Title
Owner
Phone
(678) 486-7340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X KY Primary

Addresses

Primary practice location

5700 Highlands Pkwy SE
Suite 100
Smyrna, GA 30082-5142

Mailing address

160 Versailles Rd
Frankfort, KY 40601-3208
Phone (678) 486-7340

National Provider Directory

National Provider Directory
Tax ID family
Castle Medical LLC4 organizations share this tax ID, including this one
Part of
Castle Medical LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1679970248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013208",
            "telephone_number": "678-486-7340",
            "fax_number": "678-486-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 HIGHLANDS PKWY SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825142",
            "telephone_number": "678-486-7340",
            "fax_number": "678-486-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE MEDICAL, LLC",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "DAMRON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-486-7340"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.