American Comprehensive Laboratory and Diagnostic Services, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AMERICAN COMPREHENSIVE LABORATORY AND DIAGNOSTIC SERVICES, INC

Practice address

1755 E Park Place Blvd
Stone Mountain, GA 30087-3459

Phone

(404) 756-6737

Fax

(413) 674-7301

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By 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

Dr. Colin Wilkinson, MD

Title

Chairman of the Board

Phone

(404) 756-6737

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Otis Samuel Powell Jr., M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1285654301
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1922677996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 E PARK PLACE BLVD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873459",
            "telephone_number": "404-756-6737",
            "fax_number": "413-674-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 E PARK PLACE BLVD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873459",
            "telephone_number": "404-756-6737",
            "fax_number": "413-674-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN COMPREHENSIVE LABORATORY AND DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "404-756-6737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amani Women Center Inc
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• American Anesthesiology Associates of Georgia, LLC
• American Clinical Laboratory,Inc
• American Psychiatric Services
• American Renal Care Inc
• Americare Services Inc
• Americas Hope and Help
• Amina PHRP LLC

• Clinical Medical Laboratory in Stone Mountain, GA
• Providers in Stone Mountain, 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 Jun 23, 2021; 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.