NCR Medical Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NCR MEDICAL LAB

Practice address

168 N Johnston St Ste 300
Dallas, GA 30132-4741

Phone

(877) 822-2349

Fax

(877) 341-4313

NPI assigned

Jan 11, 2025

Organization subpart

No

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

Authorized official

Name

Naomi Chineye Renfroe, HT(ASCP) CM, CPTNPI 1780494716

Title

Owner

Phone

(877) 822-2349

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naomi Chineye Renfroe, HT(ASCP) CM, CPT

  • Histology Specialist/Technologist
  • Dallas, GA
  • NPI 1780494716

  Phlebology

  NPD Authorized official

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1952111981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N JOHNSTON ST STE 300",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324741",
            "telephone_number": "877-822-2349",
            "fax_number": "877-341-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N JOHNSTON ST STE 300",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324741",
            "telephone_number": "877-822-2349",
            "fax_number": "877-341-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCR MEDICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "CHINEYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-822-2349",
        "authorized_official_credential": "HT(ASCP) CM, CPT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Dallas, GA
• Providers in Dallas, 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 Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.