Organization Active NPI

Lab Services of Georgia, LLC

  • Clinical Medical Laboratory
  • Atlanta, GA
National Provider Identifier
1851768097
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
11D2099839 Issued in GA
Legal business name
LAB SERVICES OF GEORGIA, LLC
Practice address
270 Carpenter Dr Ste 602
Atlanta, GA 30328-4931
Phone
(404) 381-6594
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Fern Johnson
Title
Owner
Phone
(678) 852-5272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 11D2099839 GA Primary

Addresses

Primary practice location

270 Carpenter Dr Ste 602
Atlanta, GA 30328-4931

Mailing address

270 Carpenter Dr Ste 602
Atlanta, GA 30328-4931
Phone (404) 381-6594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181023003357 GA Part B Supplier - Independent Clinical Laboratory 9234482183 Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2099839Lab Services of Georgia, LLC270 Carpenter Drive, Suite 602, Atlanta, GA 30328RegistrationOct 27, 2027

National Provider Directory

National Provider Directory

Locations

13 Corporate Blvd NE
Ste 140
Brookhaven, GA 30329

270 Carpenter Dr
Ste 602
Sandy Springs, GA 30328
Phone (404) 381-1563

270 Carpenter Dr
#690
Sandy Springs, GA 30328

270 Carpenter Dr
#602
Sandy Springs, GA 30328

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1851768097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DR STE 602",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284931",
            "telephone_number": "404-381-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DR STE 602",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284931",
            "telephone_number": "404-381-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB SERVICES OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-852-5272"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D2099839",
            "primary": true
        }
    ],
    "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 Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.