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LABORATORY SOUTH INC NPI 1366524563


NPI Information

NPI: 1366524563
Provider Name: LABORATORY SOUTH INC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
189 W ATHENS ST
WINDER, GA
ZIP 30680
Phone: (770) 270-9471
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LABORATORY SOUTH INC is a clinical medical laboratory in Winder, GA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. LABORATORY SOUTH INC NPI is 1366524563. The provider is registered as an organization entity type.

The provider's business location address is:

189 W ATHENS ST
WINDER, GA
ZIP 30680-295
Phone: (770) 270-9471
Fax: (770) 270-9470

The provider's authorized official is Mark T Springer .
The authorized official title is Owner and has the following contact phone number (770) 270-9471.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory044134GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1320731OTHERGEORGIAWELLCARE ID NUMBER
210066591OTHERGEORGIAAMERIGROUP ID NUMBER
3=========OTHERGEORGIATAX ID NUMBER
469WBCBHMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE PROVIDER NUMBER
5389117OTHERGEORGIABCBS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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