NPIMap

Organization Active NPI

Lab Assist Pro, LLC.

  • Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1902587900
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAB ASSIST PRO, LLC.
Practice address
1572 Highway 85 N Ste 330
Fayetteville, GA 30214-7730
Phone
(414) 736-0435
Fax
(470) 517-2988
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Sheila VanceNPI 1205518024
Title
Lab Director
Phone
(414) 736-0435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1572 Highway 85 N Ste 330
Fayetteville, GA 30214-7730

Mailing address

145 Abenberg CT
Union City, GA 30291-7135
Phone (414) 736-0435

National Provider Directory

National Provider Directory

Locations

1572 Highway 85 N
Ste 330
Fayetteville, GA 30214
Phone (414) 736-0435

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1902587900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ABENBERG CT",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302917135",
            "telephone_number": "414-736-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N STE 330",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147730",
            "telephone_number": "414-736-0435",
            "fax_number": "470-517-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB ASSIST PRO, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "414-736-0435"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.