Foam Labs Inc

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

FOAM LABS INC

Practice address

2745 Bankers Industrial Drive
Atlanta, GA 30360

Phone

(770) 246-6400

Fax

(770) 246-6401

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 2008By 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

Carl Richard Valentino Jr., MBA

Title

Vice President of Sales

Phone

(770) 246-6423

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1811162068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 POWERS FERRY RD",
            "address_2": "SUITE 600-346",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 BANKERS INDUSTRIAL DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30360",
            "telephone_number": "770-246-6400",
            "fax_number": "770-246-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOAM LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "VALENTINO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT OF SALES",
        "authorized_official_telephone_number": "770-246-6423",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.