NPIMap

Organization Active NPI

Genesis Horizon Tester LLC

  • Clinical Medical Laboratory
  • Griffin, GA
National Provider Identifier
1902628449
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENESIS HORIZON TESTER LLC
Practice address
303 S 18TH St
Griffin, GA 30224-4036
Phone
(404) 259-0969
NPI assigned
Oct 28, 2024
Last updated
Nov 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Authorized official

Name
Sharima Jones
Title
Owner
Phone
(404) 259-0969

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

303 S 18TH St
Griffin, GA 30224-4036

Mailing address

303 S 18TH St
Griffin, GA 30224-4036
Phone (404) 259-0969

Other names 1

  • Genesis Horizon Testers LLC Other name

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731801600000",
    "number": "1902628449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 18TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244036",
            "telephone_number": "404-259-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 18TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244036",
            "telephone_number": "404-259-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HORIZON TESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHARIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-259-0969"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Horizon Testers LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.