Augusta Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

121-015 Issued in GA

Legal business name

AUGUSTA LABORATORY, INC.

Practice address

1223 Augusta West Pkwy
Augusta, GA 30909-1807

Phone

(706) 868-0472

Fax

(706) 650-0848

NPI assigned

Apr 27, 2006

Last updated

Aug 22, 2020By 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. Jan Scholer, PH.D.

Title

Laboratory Director

Phone

(706) 868-0472

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972560548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091807",
            "telephone_number": "706-868-0472",
            "fax_number": "706-650-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091807",
            "telephone_number": "706-868-0472",
            "fax_number": "706-650-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOLER",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "706-868-0472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "121-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00148354A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta Inpatient Hospice Home LLC (Quality Of Life Home Care Llc)
• Augusta Inpatient Services, LLC
• Augusta Inpatient Services, LLC
• Augusta Internal Medicine Associates, P.C.
• Augusta Interventional Pain and Rehabilitation
• Augusta Lung Associates
• Augusta MD, P.C.
• Augusta Medical Care LLC
• Augusta Medical Systems, LLC
• Augusta Nephrology and Internal Medicine Associates, PC

• Clinical Medical Laboratory in Augusta, GA
• Providers in Augusta, 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 22, 2020; 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.