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PEACHSTATE HEALTH MANAGEMENT LLC NPI 1972888139

NPI Profile

NPI: 1972888139

Provider Name: PEACHSTATE HEALTH MANAGEMENT LLC

Doing Business As: AEON CLINICAL LABORATORIES

Classification: Clinical Medical Laboratory - 291U00000X

Entity Type: Organization

Address:
2225 CENTENNIAL DR
GAINESVILLE, GA
ZIP 30504

Phone: (678) 276-8411

PEACHSTATE HEALTH MANAGEMENT LLC is a clinical medical laboratory in Gainesville, 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. PEACHSTATE HEALTH MANAGEMENT LLC NPI is 1972888139. The provider is registered as an organization entity type.
The provider Is Doing Business As Aeon Clinical Laboratories.

The provider's business location address is:

2225 CENTENNIAL DR
GAINESVILLE, GA
ZIP 30504-760
Phone: (678) 276-8411
Fax: (678) 971-4830

The provider's authorized official is Shawn Desai .
The authorized official title is Lab Operations Manager and has the following contact phone number (678) 276-8411.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 11/14/2013.

Map - Location of Practice

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

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: 6/10/2015