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SOVEREIGN AND GRACE SERVICES NPI 1932717618


NPI Information

NPI: 1932717618
Provider Name: SOVEREIGN AND GRACE SERVICES

Doing Business As: A.R.K DIAGNOSTICS SOLUTIONS

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 11D2191956

Address:
551 SMITH AVE STE A
THOMASVILLE, GA
ZIP 31792
Phone: (229) 236-2585
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SOVEREIGN AND GRACE SERVICES is a clinical medical laboratory in Thomasville, 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. SOVEREIGN AND GRACE SERVICES NPI is 1932717618. The provider is registered as an organization entity type.
The provider Is Doing Business As A.r.k Diagnostics Solutions.

The provider's business location address is:

551 SMITH AVE STE A
THOMASVILLE, GA
ZIP 31792-657
Phone: (229) 236-2585

The provider's authorized official is Kuluvanda Quarlette Cason .
The authorized official title is Ceo/financial Manager and has the following contact phone number (229) 236-2585.

The CLIA number assigned to this NPI record is 11D2191956 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2020 and was last updated on 12/3/2020.


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
1251E00000XHome HealthNo
2291U00000XClinical Medical LaboratoryYes
3343900000XNon-emergency Medical Transport (VAN)No

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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