Bonds Laboratory & Diagnostic Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BONDS LABORATORY & DIAGNOSTIC SERVICES, LLC

Doing business as

Bonds LDS

Practice address

9280 Highway 5 Ste B
Douglasville, GA 30134-1501

Phone

(678) 736-6000

Fax

(678) 736-6004

NPI assigned

Sep 30, 2019

Last updated

Aug 29, 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. Alfred A Ifarinde, PHD

Title

Ceo

Phone

(678) 831-0706

Specialties & licenses 1

Addresses

Other names 1

• Bonds LDS Doing business as

Locations

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630195200000",
    "number": "1942841127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4950",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300234950",
            "telephone_number": "678-736-6000",
            "fax_number": "678-736-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 HIGHWAY 5 STE B",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341501",
            "telephone_number": "678-736-6000",
            "fax_number": "678-736-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONDS LABORATORY & DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A",
        "authorized_official_last_name": "IFARINDE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-831-0706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonds LDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bonds LDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Douglasville, GA
• Providers in Douglasville, 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 Aug 29, 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.