River Town Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RIVER TOWN LABORATORIES, LLC

Practice address

105 City Smitty Dr Unit 105
Saint Marys, GA 31558-8908

Phone

(904) 439-3414

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Christopher Edmondson

Title

Cfo

Phone

(904) 619-9299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1740886944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CITY SMITTY DR UNIT 105",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315588908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CITY SMITTY DR UNIT 105",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315588908",
            "telephone_number": "904-439-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER TOWN LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-619-9299"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Ray Webster, M.D.
• Elizabeth A Reece, MD
• Rentz Family Dentistry
• Alexandra L Richey
• Joseph L Ritola, DC
• Robert D. Mixson MD PA a Georgia Corp
• Myra Leigh Robertson, PHARMD
• Harry Hawthorne Robinson III, M.D.
• Sophia Robinson, RBT
• Eliana Rodriguez

• Clinical Medical Laboratory in Saint Marys, GA
• Providers in Saint Marys, 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 Dec 15, 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.