Organization Active NPI

Labmd Inc

  • Clinical Medical Laboratory
  • Atlanta, GA
National Provider Identifier
1699861328
Registry record updated Oct 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
11D1016172 Issued in GA
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

Updated by the provider on Oct 3, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00869217AMedicaidGA
P00229191OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.