Organization Active NPI

Stat Lab Solutions

  • Laboratory Management Specialist/Technologist
  • Leesburg, GA
National Provider Identifier
1730098195
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X
Legal business name
STAT LAB SOLUTIONS
Practice address
159 Winding Way Apt D
Leesburg, GA 31763-5097
Phone
(470) 319-9540
NPI assigned
Sep 2, 2026
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Nichelle Miller, MLS
Title
Clinic Director
Phone
(470) 319-9540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Laboratory Management Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246QL0900X Primary

Addresses

Primary practice location

159 Winding Way Apt D
Leesburg, GA 31763-5097

Mailing address

179 Cedrtic STR
Leesburg, GA 31763
Phone (470) 319-9540

National Provider Directory

National Provider Directory

Locations

179 Cedric St
Leesburg, GA 31763

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1730098195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 CEDRTIC STR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "31763",
            "telephone_number": "470-319-9540",
            "fax_number": "470-319-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WINDING WAY APT D",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635097",
            "telephone_number": "470-319-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT LAB SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "470-319-9540",
        "authorized_official_credential": "MLS"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

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