Active NPI
Lab Services of Georgia, LLC
- Clinical Medical Laboratory
- Atlanta, GA
National Provider Identifier
1851768097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 11D2099839
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181023003357 | GA | Part B Supplier - Independent Clinical Laboratory | 9234482183 | Practice locations: Atlanta, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2099839 | Lab Services of Georgia, LLC | Registration | Oct 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.