National Healthcare Center LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NATIONAL HEALTHCARE CENTER LLC

Practice address

4228 1St Ave Ste 1
Tucker, GA 30084-4426

Phone

(770) 318-0476

NPI assigned

Oct 13, 2023

Last updated

Oct 13, 2023By 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

Averal Johnson

Title

Owner

Phone

(770) 318-0476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1871374942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HERRINGTON RD # 64",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447217",
            "telephone_number": "770-318-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 1ST AVE STE 1",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844426",
            "telephone_number": "770-318-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AVERAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-318-0476"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Tucker, GA
• Providers in Tucker, 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 13, 2023; 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.