NPIMap

Organization Active NPI

Lab Pro Diagnostics LLC

  • Registered Nurse
  • Marietta, GA
National Provider Identifier
1760137491
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
LAB PRO DIAGNOSTICS LLC
Practice address
1486 Terrell Mill Rd SE Apt 422
Marietta, GA 30067-6143
Phone
(334) 618-5306
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Olivia BingerNPI 1437805819
Title
Medical Director
Phone
(334) 618-5306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

1486 Terrell Mill Rd SE Apt 422
Marietta, GA 30067-6143

Mailing address

1486 Terrell Mill Rd SE Apt 422
Marietta, GA 30067-6143
Phone (334) 618-5306

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Labprollc@outlook.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1760137491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 TERRELL MILL RD SE APT 422",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676143",
            "telephone_number": "334-618-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 TERRELL MILL RD SE APT 422",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676143",
            "telephone_number": "334-618-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB PRO DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "BINGER",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "334-618-5306"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Labprollc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business email",
            "address_1": "1486 Terrell Mill Rd SE Apt 422",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300676143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.