PPD Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PPD LABS INC

Doing business as

PPD Labs Inc

Practice address

4654 N Shallowford Rd
Dunwoody, GA 30338

Phone

(678) 280-6762

Fax

(678) 280-6762

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By 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

Andree Matthews

Title

Billing Manager

Phone

(678) 613-2971

Specialties & licenses 1

Addresses

Other names 1

• PPD LABS INC Doing business as

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

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1982301511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 N SHALLOWFORD RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "678-280-6762",
            "fax_number": "678-280-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4654 N SHALLOWFORD RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "678-280-6762",
            "fax_number": "678-280-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPD LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ANDREE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-613-2971"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPD LABS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Lynn Pond, PT
• Alicia Allison Porter, LPC
• Mary Madison Porter, PT, DPT
• Richard Austin Posey, DPT
• Amber S Powell
• Shruti Prathip, PSYD
• Premier Audiology Associates, LLC (Atlanta Hearing Associates)
• Abigail Price, APC
• Lisa M Price, M.D.
• Jeffrey Glenn Priluck, DMD

• Clinical Medical Laboratory in Dunwoody, GA
• Providers in Dunwoody, 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 Feb 14, 2023; 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.