Ai Biotech, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AI BIOTECH, LLC

Doing business as

AI Biotech- GA

Practice address

785 Virginia Ave
Suite B
Hapeville, GA 30354-1991

Phone

(804) 648-3820

Fax

(804) 648-2641

NPI assigned

May 20, 2014

Last updated

Jan 26, 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

Mr. David G Bostwick, MD, MBA

Title

Ceo, Medical Director

Phone

(804) 915-3845

Specialties & licenses 1

Addresses

Other names 1

• AI Biotech- GA Doing business as

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1760894158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BIOTECH DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-915-3845",
            "fax_number": "804-648-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 VIRGINIA AVE",
            "address_2": "SUITE B",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541991",
            "telephone_number": "804-648-3820",
            "fax_number": "804-648-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AI BIOTECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "BOSTWICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "804-915-3845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AI Biotech- GA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Hapeville, GA
• Providers in Hapeville, 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 Jan 26, 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.