Organization Active NPI

Advanced Medical Diagnostics of Texas, LLC

  • Clinical Medical Laboratory
  • Peachtree Corners, GA
National Provider Identifier
1689349102
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANCED MEDICAL DIAGNOSTICS OF TEXAS, LLC
Practice address
333 Research CT Ste 200
Peachtree Corners, GA 30092
Phone
(866) 508-6060
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Brandon Lorensten
Title
Owner
Phone
(866) 508-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

333 Research CT Ste 200
Peachtree Corners, GA 30092

Mailing address

333 Research CT Ste 200
Peachtree Corners, GA 30092
Phone (817) 526-5380

National Provider Directory

National Provider Directory

Locations

333 Research Ct
Ste 200
Peachtree Corners, GA 30092
Phone (678) 250-9222

140 S Ridgeway Dr
Cleburne, TX 76033
Phone (817) 526-5380

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1689349102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RESEARCH CT STE 200",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "817-526-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RESEARCH CT STE 200",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "866-508-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL DIAGNOSTICS OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "LORENSTEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-508-6060"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.