KMB Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KMB DIAGNOSTICS LLC

Practice address

2310 Parklake Dr NE Ste 460
Atlanta, GA 30345-2913

Phone

(470) 275-6924

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Priscilla WeaverNPI 1073189882

Title

Adminstrator

Phone

(833) 615-1090

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Priscilla Weaver

  • Clinical Medical Laboratory
  • Atlanta, GA
  • NPI 1073189882
  NPD Authorized official

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1831868330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 PARKLAKE DR NE # 460",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452913",
            "telephone_number": "470-275-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PARKLAKE DR NE STE 460",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452913",
            "telephone_number": "470-275-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMB DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "833-615-1090"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administration@kmbdiagnostics.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2310 Parklake Dr NE Ste 460",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303452913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Klugman, MD
• Patricia M Klump, CRNA
• KM Medicine, LLC
• KMB Billing and Consulting
• KMB Diagnostics
• KMS Private Homecare Services LLC
• Jennifer W Knapp, CRNA
• Kenyon Christian Knapp Sr., LPC, NCC, CPCS
• Marta Knapp
• Eric M Knauer, MD

• Clinical Medical Laboratory in Atlanta, GA
• Providers in Atlanta, 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 Sep 8, 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.