Provider Type Icon

MEDICAL NEUROGENETICS LLC NPI 1447436514


NPI Information

NPI: 1447436514
Provider Name: MEDICAL NEUROGENETICS, LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 11D0703390

Address:
5424 GLENRIDGE DR. NE
ATLANTA, GA
ZIP 30342
Phone: (678) 225-0222
Get Directions

MEDICAL NEUROGENETICS, LLC is a clinical medical laboratory in Atlanta, 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. MEDICAL NEUROGENETICS, LLC NPI is 1447436514. The provider is registered as an organization entity type.

The provider's business location address is:

5424 GLENRIDGE DR. NE
ATLANTA, GA
ZIP 30342
Phone: (678) 225-0222
Fax: (678) 225-0212

The provider's authorized official is Kimberly T Williams .
The authorized official title is Vice President and has the following contact phone number (800) 222-7566.

The CLIA number assigned to this NPI record is 11D0703390 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 9/19/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.