Active NPI
Labmd Inc
- Clinical Medical Laboratory
- Atlanta, GA
National Provider Identifier
1699861328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 11D1016172
- Legal business name
- LABMD INC
- Practice address
- 2030 Powers Ferry Rd SE
Suite 520
Atlanta, GA 30339-2823 - Phone
- (678) 443-2330
- Fax
- (678) 443-2339
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael J Daugherty
- Title
- President
- Phone
- (678) 443-2330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 11D1016172 | GA | Primary |
Addresses
Primary practice location
2030 Powers Ferry Rd SE
Suite 520
Atlanta, GA 30339-2823
Mailing address
2030 Powers Ferry Rd SE
Suite 520
Atlanta, GA 30339-2823
Phone (678) 443-2330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00869217A | Medicaid | GA | |
| P00229191 | Other | GA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
2030 Powers Ferry Rd SE
Ste 520
Atlanta, GA 30339
Phone (404) 518-8590
1117 Perimeter Ctr
Ste W406
Sandy Springs, GA 30338
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Savannah, GA
- NPI 1689658585
-
- Anatomic Pathology & Clinical Pathology Physician
- Brunswick, GA
- NPI 1770576423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254528000000",
"number": "1699861328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 POWERS FERRY RD SE",
"address_2": "SUITE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392823",
"telephone_number": "678-443-2330",
"fax_number": "678-443-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 POWERS FERRY RD SE",
"address_2": "SUITE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392823",
"telephone_number": "678-443-2330",
"fax_number": "678-443-2339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2009-10-03",
"status": "A",
"authorized_official_last_name": "DAUGHERTY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-443-2330",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "GA",
"license": "11D1016172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00869217A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00229191",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.