Medical Testers, Inc

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

MEDICAL TESTERS, INC

Practice address

137 Magnaview Dr
McDonough, GA 30253-3039

Phone

(321) 216-7352

Fax

(404) 393-0703

NPI assigned

Feb 4, 2022

Last updated

Mar 28, 2022By 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

Bashah T Gaines

Title

Owner/Operator

Phone

(321) 216-7352

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1760136105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MAGNAVIEW DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533039",
            "telephone_number": "321-216-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAGNAVIEW DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533039",
            "telephone_number": "321-216-7352",
            "fax_number": "404-393-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TESTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "BASHAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "321-216-7352"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.