NPIMap

Organization Active NPI

CPM Labs, LLC

  • Clinical Medical Laboratory
  • Roswell, GA
National Provider Identifier
1689945800
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
11D2000466 Issued in GA
Legal business name
CPM LABS, LLC
Practice address
1295 Hembree Road
Suite 105-a
Roswell, GA 30076-5721
Phone
(770) 948-6824
Fax
(770) 948-6804
NPI assigned
Jan 19, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mrs. Mary W. Hardwick, RN
Title
Practice Manager
Phone
(770) 948-6824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 11D2000466 GA Primary

Addresses

Primary practice location

1295 Hembree Road
Suite 105-a
Roswell, GA 30076-5721

Mailing address

1295 Hembree Road
Suite 105-a
Roswell, GA 30076-5721
Phone (770) 948-6824

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1295 Hembree Rd
Ste 102
Roswell, GA 30076

1295 Hembree Rd
Ste A105
Roswell, GA 30076

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1689945800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE ROAD",
            "address_2": "SUITE 105-A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765721",
            "telephone_number": "770-948-6824",
            "fax_number": "770-948-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE ROAD",
            "address_2": "SUITE 105-A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765721",
            "telephone_number": "770-948-6824",
            "fax_number": "770-948-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPM LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-948-6824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D2000466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.