Organization Active NPI

Dunwoody Labs Inc

  • Clinical Medical Laboratory
  • Dunwoody, GA
National Provider Identifier
1891130639
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
018579 Issued in GA
Legal business name
DUNWOODY LABS INC
Practice address
9 Dunwoody Park
Suite 121
Dunwoody, GA 30338-7407
Phone
(678) 736-6374
Fax
(404) 393-5564
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Dr. Benjamin Johnston, M.D.
Title
Medical Director
Phone
(678) 736-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 018579 GA Primary

Addresses

Primary practice location

9 Dunwoody Park
Suite 121
Dunwoody, GA 30338-7407

Mailing address

9 Dunwoody Park
Suite 121
Dunwoody, GA 30338-7407
Phone (678) 736-6374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723000550 GA Part B Supplier - Independent Clinical Laboratory 4688900145 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
11D1101209Dunwoody Labs, Inc9 Dunwoody Park, Suite 121, Dunwoody, GA 30338AccreditationNov 12, 2027

National Provider Directory

National Provider Directory

Locations

9 Dunwoody Park
Ste 121
Dunwoody, GA 30338
Phone (678) 736-6374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1891130639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "address_2": "SUITE 121",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387407",
            "telephone_number": "678-736-6374",
            "fax_number": "404-393-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "address_2": "SUITE 121",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387407",
            "telephone_number": "678-736-6374",
            "fax_number": "404-393-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNWOODY LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-736-6374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "018579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.