Quality Labs on the Go

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUALITY LABS ON THE GO

Practice address

5284 Floyd Rd SW
472
Mableton, GA 30126-6124

Phone

(404) 641-6840

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By 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

Veronica Stark

Title

Owner

Phone

(404) 641-6840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1861809493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 FLOYD RD SW",
            "address_2": "472",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266124",
            "telephone_number": "404-641-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5284 FLOYD RD SW",
            "address_2": "472",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266124",
            "telephone_number": "404-641-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LABS ON THE GO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-641-6840"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Mableton, GA
• Providers in Mableton, 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 Jul 15, 2014; 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.