Dublin Internal Medicine Reference Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

087-007 Issued in GA

Legal business name

DUBLIN INTERNAL MEDICINE REFERENCE LAB

Practice address

104 Fairview Park Dr
Dublin, GA 31021-2500

Phone

(478) 272-1366

Fax

(478) 277-1922

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By 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

Mrs. Ellen Barr

Title

Asst Administrator

Phone

(478) 272-1366

Specialties & licenses 1

Addresses

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.

• Donald R Nelson, MD

  • Internal Medicine Physician
  • Dublin, GA
  • NPI 1427036813
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740306315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1528",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310401528",
            "telephone_number": "478-272-1366",
            "fax_number": "478-277-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212500",
            "telephone_number": "478-272-1366",
            "fax_number": "478-277-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN INTERNAL MEDICINE REFERENCE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "ASST ADMINISTRATOR",
        "authorized_official_telephone_number": "478-272-1366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "087-007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dublin Gastroenterology Assoc, LLC
• Dublin Health Properties LLC (Dublinair Health & Rehab)
• Dublin Hematology Oncology Care PC
• Dublin Hematology Oncology Care, PC
• Dublin Internal Medicine
• Dublin Kidney Institute
• Dublin Medical Equipment, LLC
• Dublin Multispecialty LLC
• Dublin Nephrology Associates LLC
• Dublin Nephrology Care, LLC

• Clinical Medical Laboratory in Dublin, GA
• Providers in Dublin, 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 Aug 22, 2020; 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.