Metamark Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

121-058 Issued in GA

Legal business name

METAMARK LABORATORIES, INC.

Practice address

985 Broad St.
Suite a
Augusta, GA 30901-1286

Phone

(877) 743-3338

NPI assigned

Aug 14, 2006

Last updated

Oct 8, 2017By 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

Sathish Kothandaram

Title

President & C.E.O

Phone

(855) 420-8243

Specialties & licenses 2

Addresses

Other identifiers 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Healthtronics Laboratory Solutions LLC

  • Clinical Medical Laboratory
  • Collegeville, PA
  • NPI 1013231042

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwight Paul Mirmow, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Augusta, GA
  • NPI 1730173493
  NPD
• Thomas P Nifong, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Hershey, PA
  • NPI 1659335800
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507420800000",
    "number": "1841203429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 BROAD ST.",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BROAD ST.",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011286",
            "telephone_number": "877-743-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMARK LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-10-08",
        "status": "A",
        "authorized_official_last_name": "KOTHANDARAM",
        "authorized_official_first_name": "SATHISH",
        "authorized_official_title_or_position": "PRESIDENT & C.E.O",
        "authorized_official_telephone_number": "855-420-8243"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "121-058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE3909",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa D. Merrick, LMBT
• Robyn Hawkins Merritt, DC
• Shana Messex
• Bonni Renee Messner, ATC
• Elizabeth R Messulam, MD
• Metro Treatment of Georgia, LP (Augusta Metro Treatment Center)
• Timothy Richard Mettenburg, DPT
• Katelyn Metz
• Linda B Metz, NP
• Alexandra Metzger, DO

• Clinical Medical Laboratory in Augusta, GA
• Providers in Augusta, 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 8, 2017; 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.