Priority Toxicology Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

11D2108401 Issued in GA

Legal business name

PRIORITY TOXICOLOGY LABORATORIES

Practice address

6781 Londonderry Way Ste 4
Union City, GA 30291-2047

Phone

(678) 313-1134

NPI assigned

Jun 3, 2016

Last updated

Jun 3, 2016By 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

Dr. Jeremy Willis, PH.D

Title

Owner

Phone

(678) 313-1134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1740639434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 MELHANA LN",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302915179",
            "telephone_number": "678-313-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 LONDONDERRY WAY STE 4",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912047",
            "telephone_number": "678-313-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY TOXICOLOGY LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-313-1134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D2108401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Union City, GA
• Providers in Union City, 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 Jun 3, 2016; 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.