Laboratory Doctors Network LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORY DOCTORS NETWORK LLC

Doing business as

Laboratory Doctors Network LLC

Practice address

612 Main St Ste 102
Palmetto, GA 30268-1149

Phone

(404) 551-2799

Fax

(678) 834-5529

NPI assigned

Sep 16, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ILAMAE PRICE LLCAs reported in NPPES

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

Authorized official

Name

Ila Walker, MT

Title

Director of Laboratory Services

Phone

(404) 551-2799

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LABORATORY DOCTORS NETWORK LLC Doing business as

Electronic endpoints 1

Part of

Ilamae Price LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ilamae Price LLC

  dba Laboratory Doctors Network LLC

  • Clinical Medical Laboratory
  • Palmetto, GA
  • NPI 1508520115
  NPPES parent name

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1780354183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MAIN ST STE 102",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681149",
            "telephone_number": "404-551-2799",
            "fax_number": "678-834-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MAIN ST STE 102",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681149",
            "telephone_number": "404-551-2799",
            "fax_number": "678-834-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY DOCTORS NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILAMAE PRICE LLC",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ILA",
        "authorized_official_title_or_position": "DIRECTOR OF LABORATORY SERVICES",
        "authorized_official_telephone_number": "404-551-2799",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA CERTIFICATE OF WAIVER",
            "identifier": "11D2184009",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WEBSITE",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "612 Main St Ste 102",
            "city": "Palmetto",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302681149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LABORATORY DOCTORS NETWORK LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORY DOCTORS NETWORK LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reine Jennings, LDO
• Jjohnson Behavioral Health & Consulting Group
• Carolyn E Johnson, REGISTERED NURSE CHI
• Damien Anton Jones
• Jason Chapman Jones, PHARMD
• Milanieva Latorre, MD
• Haley Leatherbarrow, DDS
• Legacy Healthcare Services Inc
• Little Treehouse ABA LLC
• Elizabeth E Marquetti IV, MD,PHARMACY ,PHD

• Clinical Medical Laboratory in Palmetto, GA
• Providers in Palmetto, 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 Oct 25, 2021; 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.