ON DEMAND DIAGNOSTIC LAB LLC NPI 1134870249

NPI Information

  • NPI: 1134870249
  • Provider Name: ON DEMAND DIAGNOSTIC LAB LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 3229 MERCER UNIVERSITY DR
    MACON, GA
    ZIP 31204
  • Phone: (404) 655-2292

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NPI Details

ON DEMAND DIAGNOSTIC LAB LLC is a clinic center in Macon, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ON DEMAND DIAGNOSTIC LAB LLC NPI is 1134870249. The provider is registered as an organization entity type.

The provider's business location address is:

3229 MERCER UNIVERSITY DR
MACON, GA
ZIP 31204-029
Phone: (404) 655-2292

The provider's authorized official is Shemicka Johnson .
The authorized official title is Owner and has the following contact phone number (404) 655-2292.

The enumeration date for this NPI number is 1/11/2022 and was last updated on 2/25/2022.

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
1261Q00000XClinic/CenterYes

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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