NPIMap

Organization Active NPI

Reliance Medical Laboratories, Inc.

  • Clinical Medical Laboratory
  • Tucker, GA
National Provider Identifier
1891889747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
044-151 Issued in GA
Legal business name
RELIANCE MEDICAL LABORATORIES, INC.
Practice address
2200 Northlake Pkwy
Suite 236
Tucker, GA 30084-4022
Phone
(770) 723-0722
Fax
(770) 723-0578
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patsy D. Lewis, MT
Title
Ceo
Phone
(770) 723-0722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 044-151 GA Primary

Addresses

Primary practice location

2200 Northlake Pkwy
Suite 236
Tucker, GA 30084-4022

Mailing address

2200 Northlake Pkwy
Suite 236
Tucker, GA 30084-4022
Phone (770) 723-0722

National Provider Directory

National Provider Directory

Locations

2200 Northlake Pkwy
Ste 236
Tucker, GA 30084
Phone (770) 723-0722

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891889747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHLAKE PKWY",
            "address_2": "SUITE 236",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844022",
            "telephone_number": "770-723-0722",
            "fax_number": "770-723-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHLAKE PKWY",
            "address_2": "SUITE 236",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844022",
            "telephone_number": "770-723-0722",
            "fax_number": "770-723-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MEDICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-723-0722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "044-151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.