Genesis Health Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENESIS HEALTH LAB LLC

Practice address

495 Deerwood Dr
Suwanee, GA 30024-2714

Phone

(678) 760-6056

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Dovetta Stanton

Title

Owner

Phone

(678) 760-6056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1689345894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 DEERWOOD DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242714",
            "telephone_number": "678-760-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 DEERWOOD DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242714",
            "telephone_number": "678-760-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "DOVETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-760-6056",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles J Garvey, LCSW
• Alyssa Gattis, PA
• Isabella Gaunce, RBT
• Patricia Gauthier, MA CCC-SLP
• Karine Gelin, R PA-C
• Miriam P Gentin, M.D.
• Gentle Winds Home Care, LLC
• Harry A Gentry, D.D.S.
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• Georgia CVS Pharmacy LLC (CVS Pharmacy #17145)

• Clinical Medical Laboratory in Suwanee, GA
• Providers in Suwanee, 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 Sep 27, 2021; 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.