Georgia Speedy Testing LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GEORGIA SPEEDY TESTING LLC

Practice address

809 Cleveland Ave SW Ste 4
Atlanta, GA 30315-7108

Phone

(404) 800-9800

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 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

Mrs. Stephanie Bacon

Title

Operations Managet

Phone

(404) 800-9800

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1922760362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CLEVELAND AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157108",
            "telephone_number": "404-800-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CLEVELAND AVE SW STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157108",
            "telephone_number": "404-800-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SPEEDY TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGET",
        "authorized_official_telephone_number": "404-800-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://us.crelio.solutions/labLogin/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Electronic Medical Records",
            "address_1": "809 Cleveland Ave SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303157108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.