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Kasier Permanente

Organization Active NPI Clinical Medical Laboratory · Holly Springs, GA

NPI 1811216153 · NPPES record last updated Jul 15, 2021

Key facts

NPI
1811216153
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
KASIER PERMANENTE
Practice address
684 Sixes Rd
Suite 275
Holly Springs, GA 30115-8721
Phone
(770) 852-2439
Fax
(770) 852-2442
NPI assigned
May 26, 2010
Organization subpart
No

Authorized official

Name
Katherine Farmer
Title
Director of Laboratory Services
Phone
(404) 309-9314

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Kaiser Foundation Health (67 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 11D2006605 GA
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

684 Sixes Rd
Suite 275
Holly Springs, GA 30115-8721

Mailing address

3495 Piedmont Rd NE
Atlanta, GA 30305-1717

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Other providers in Holly Springs, GA

All providers in Holly Springs, GA · Clinical Medical Laboratory in Georgia

Sources for this page

Verify at the official NPI Registry.