Organization Active NPI

Nimco, LLC

  • Physiological Laboratory
  • Atlanta, GA
National Provider Identifier
1841448602
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NIMCO, LLC
Practice address
3290 Northside Pkwy
Suite 300
Atlanta, GA 30327-2212
Phone
(404) 767-6400
Fax
(404) 767-6476
NPI assigned
Sep 5, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Mr. Kenneth Lee McNinch Jr.
Title
Executive Director
Phone
(404) 767-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU

Addresses

Primary practice location

3290 Northside Pkwy
Suite 300
Atlanta, GA 30327-2212

Mailing address

3290 Northside Pkwy
Suite 300
Atlanta, GA 30327-2212
Phone (404) 767-6400

National Provider Directory

National Provider Directory

Locations

3290 Northside Pkwy NW
Ste 300
Atlanta, GA 30327
Phone (404) 201-6013

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1841448602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 NORTHSIDE PKWY",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272212",
            "telephone_number": "404-767-6400",
            "fax_number": "404-767-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 NORTHSIDE PKWY",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272212",
            "telephone_number": "404-767-6400",
            "fax_number": "404-767-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MCNINCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-767-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.