Organization Active NPI

Trans Alliance Lab

  • Health Maintenance Organization
  • Atlanta, GA
National Provider Identifier
1992819072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
PHRE008987 Issued in GA
Legal business name
TRANS ALLIANCE LAB
Practice address
3050 Martin Luther King Jr Dr SW Ste H
Atlanta, GA 30311-1500
Phone
(404) 699-9000
Fax
(404) 699-9111
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chinwe Bibi Nwabude
Title
Pharmacist
Phone
(404) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PHRE008987 GA Primary

Addresses

Primary practice location

3050 Martin Luther King Jr Dr SW Ste H
Atlanta, GA 30311-1500

Mailing address

PO Box 767757
Roswell, GA 30076-7757
Phone (404) 699-9000

National Provider Directory

National Provider Directory
Tax ID family
Trans Alliance Lab5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992819072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767757",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300767757",
            "telephone_number": "404-699-9000",
            "fax_number": "404-699-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MARTIN LUTHER KING JR DR SW STE H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111500",
            "telephone_number": "404-699-9000",
            "fax_number": "404-699-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANS ALLIANCE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NWABUDE",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_middle_name": "BIBI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-699-9000"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "PHRE008987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • 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.