Gclab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GCLAB LLC

Doing business as

Detect & Protect

Practice address

635 Glynn Street N.
Suite 1 & 2
Fayetteville, GA 30214

Phone

(770) 692-1241

Fax

(770) 719-1443

NPI assigned

Oct 30, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Germanus Okechukwu Ejiogu, B S. M T.

Title

Owner / Ceo

Phone

(770) 692-1241

Specialties & licenses 1

Addresses

Other names 1

• Detect & Protect Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1730843251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 GLYNN STREET N.",
            "address_2": "SUITE 1 & 2",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-692-1241",
            "fax_number": "770-719-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 GLYNN STREET N.",
            "address_2": "SUITE 1 & 2",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-692-1241",
            "fax_number": "770-719-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCLAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-27",
        "status": "A",
        "authorized_official_last_name": "EJIOGU",
        "authorized_official_first_name": "GERMANUS",
        "authorized_official_middle_name": "OKECHUKWU",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "770-692-1241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B S. M T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@detectandprotectinc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "635 Glynn Street N.",
            "address_2": "Suite 1 & 2",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Detect & Protect",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Detect & Protect",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.