STATE DRUG TESTING & OCCUPATIONAL HEALTH INC. NPI 1154946101

NPI Information

NPI: 1154946101
Provider Name: STATE DRUG TESTING & OCCUPATIONAL HEALTH, INC.
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 11D2208900

Address:
24 W CHATHAM CT
GARDEN CITY, GA
ZIP 31408
Phone: (912) 446-1777
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STATE DRUG TESTING & OCCUPATIONAL HEALTH, INC. is an occupational medicine clinic center in Garden City, GA. STATE DRUG TESTING & OCCUPATIONAL HEALTH, INC. NPI is 1154946101. The provider is registered as an organization entity type.

The provider's business location address is:

24 W CHATHAM CT
GARDEN CITY, GA
ZIP 31408-051
Phone: (912) 446-1777

The provider's authorized official is Jean H Simmons .
The authorized official title is Executive Vp and has the following contact phone number (912) 446-1777.

The CLIA number assigned to this NPI record is 11D2208900 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2020 and was last updated on 6/15/2020.

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
1	261QX0100X	Clinic/Center	Occupational Medicine			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: 5/5/2024

NPI Synchronization or Removal

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