Genesis Horizon Tester LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENESIS HORIZON TESTER LLC

Practice address

303 South 18TH Street
Griffin, GA 30224

Phone

(404) 259-0969

NPI assigned

Nov 18, 2024

Last updated

Dec 14, 2024By 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

Sharima Kenya Mills

Title

Owner

Phone

(404) 259-0969

Specialties & licenses 1

Addresses

Other names 1

• Genesis Horizon Testers LLC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Genesis Horizon Tester LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Horizon Tester LLC

  • Clinical Medical Laboratory
  • Griffin, GA
  • NPI 1902628449
  NPD tax ID
• Genesis Horizon Tester LLC

  • Clinical Medical Laboratory
  • Griffin, GA
  • NPI 1952128696
  NPD tax ID

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734134400000",
    "number": "1891510764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SOUTH 18TH STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "404-259-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SOUTH 18TH STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "404-259-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HORIZON TESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "SHARIMA",
        "authorized_official_middle_name": "KENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-259-0969"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Horizon Testers LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Genesis Horizon Testers LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emily Gates, MA, NCC
• Emmanuel O Gbadehan, M.D., FACP, FACG
• Bobby Cecil Gearing III, MD, MS
• Gem Care Inc (Visiting Angels)
• Genesis Eldercare Physician Services LLC
• Genesis Horizon Tester LLC
• Genesis Horizon Tester LLC
• Georgia Assessment and Therapy Enterprises LLC
• Georgia Cancer Specialists I PC
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 04404)

• Clinical Medical Laboratory in Griffin, GA
• Providers in Griffin, 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 Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.