Organization Active NPI

Mobile Lab Testing by Cherese

  • Clinical Medical Laboratory
  • East Point, GA
National Provider Identifier
1972192045
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOBILE LAB TESTING BY CHERESE
Practice address
1656 Ware Ave # 130
East Point, GA 30344-3133
Phone
(678) 670-7200
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Latoya Dawson
Title
Billing Director
Phone
(352) 231-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1656 Ware Ave # 130
East Point, GA 30344-3133

Mailing address

1656 Ware Ave # 130
East Point, GA 30344-3133
Phone (678) 670-7200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1972192045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 WARE AVE # 130",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443133",
            "telephone_number": "678-670-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 WARE AVE # 130",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443133",
            "telephone_number": "678-670-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE LAB TESTING BY CHERESE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "352-231-7551"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.