LABORATORY DOCTORS NETWORK LLC NPI 1780354183

NPI Information

NPI: 1780354183
Provider Name: LABORATORY DOCTORS NETWORK LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Doing Business As: LABORATORY DOCTORS NETWORK LLC
Address: 612 MAIN ST STE 102
PALMETTO, GA
ZIP 30268
Phone: (404) 551-2799

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NPI Details

LABORATORY DOCTORS NETWORK LLC is a clinical medical laboratory in Palmetto, 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 DOCTORS NETWORK LLC NPI is 1780354183. The provider is registered as an organization entity type.
The provider Is Doing Business As Laboratory Doctors Network Llc.

The provider's business location address is:

612 MAIN ST STE 102
PALMETTO, GA
ZIP 30268-149
Phone: (404) 551-2799
Fax: (678) 834-5529

The provider's authorized official is Ila Walker .
The authorized official title is Director Of Laboratory Services and has the following contact phone number (404) 551-2799.

The enumeration date for this NPI number is 9/16/2021 and was last updated on 10/25/2021.

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
1	291U00000X	Clinical Medical Laboratory				Yes

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
1	11D2184009	OTHER	GEORGIA	CMS CLIA CERTIFICATE OF WAIVER

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: 3/30/2025

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