Active NPI
Bi-Medical Inc.
- Clinical Medical Laboratory
- Snellville, GA
National Provider Identifier
1770648867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BI-MEDICAL INC.
- Practice address
- 2330 Scenic Hwy S
Su 110
Snellville, GA 30078-3115 - Phone
- (678) 993-3824
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Foster Jacobs
- Title
- Ceo
- Phone
- (678) 993-3824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2330 Scenic Hwy S
Su 110
Snellville, GA 30078-3115
Mailing address
2330 Scenic Hwy S
Su 110
Snellville, GA 30078-3115
Phone (678) 993-3824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000751011C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
2330 Scenic Hwy S
#110
Snellville, GA 30078
Phone (678) 993-3824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245801600000",
"number": "1770648867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 SCENIC HWY S",
"address_2": "SU 110",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783115",
"telephone_number": "678-993-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 SCENIC HWY S",
"address_2": "SU 110",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783115",
"telephone_number": "678-993-3824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BI-MEDICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2009-06-24",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "FOSTER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-993-3824",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000751011C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.