Organization Active NPI

Biogenx Laboratories LLC

  • Clinical Medical Laboratory
  • Roswell, GA
National Provider Identifier
1801506159
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIOGENX LABORATORIES LLC
Practice address
425 E Crossville Rd Ste 205
Roswell, GA 30075-3059
Phone
(678) 469-7393
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Kamal Lomashvili
Title
Ceo
Phone
(678) 469-7393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

425 E Crossville Rd Ste 205
Roswell, GA 30075-3059

Mailing address

425 E Crossville Rd Ste 205
Roswell, GA 30075-3059
Phone (678) 469-7393

National Provider Directory

National Provider Directory

Locations

425 E Crossville Rd
Ste 205
Roswell, GA 30075
Phone (678) 469-7393

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1801506159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E CROSSVILLE RD STE 205",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753059",
            "telephone_number": "678-469-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E CROSSVILLE RD STE 205",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753059",
            "telephone_number": "678-469-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOGENX LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "LOMASHVILI",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-469-7393"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.