Organization Active NPI

True Dna Diagnostic, LLC

  • Clinical Medical Laboratory
  • Ellenwood, GA
National Provider Identifier
1710804851
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TRUE DNA DIAGNOSTIC, LLC
Practice address
3461 Rockmill Dr Ste 440
Ellenwood, GA 30294-6313
Phone
(903) 722-3123
Fax
(903) 722-3123
NPI assigned
Jun 30, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Makesha McClenton, RNNPI 1891276598
Title
Owner/Ceo
Phone
(903) 722-3123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3461 Rockmill Dr Ste 440
Ellenwood, GA 30294-6313

Mailing address

909 Eagles Landing Pkwy Ste 440
Stockbridge, GA 30281-6398
Phone (903) 722-3123

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1710804851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 EAGLES LANDING PKWY STE 440",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816398",
            "telephone_number": "903-722-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 ROCKMILL DR STE 440",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946313",
            "telephone_number": "903-722-3123",
            "fax_number": "903-722-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE DNA DIAGNOSTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "MCCLENTON",
        "authorized_official_first_name": "MAKESHA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "903-722-3123",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.