NPI Details
MED-LAKE LABORATORY, LLC is a clinical medical laboratory in Milledgeville, 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. MED-LAKE LABORATORY, LLC NPI is 1174092548. The provider is registered as an organization entity type.
The provider's business location address is:
100 INDUSTRIAL PARK RD NW
MILLEDGEVILLE, GA
ZIP 31061-602
Phone: (478) 454-6696
The provider's authorized official is Jennifer Moss .
The authorized official title is Billing Manager and has the following contact phone number (478) 414-4235.
The CLIA number assigned to this NPI record is 11D2162372 - independent with a certificate type of Certificate of Accreditation.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0004)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
- Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0481)
- Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Hemoglobin a1c level (HCPCS:83036)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Vitamin d-3 level (HCPCS:82306)
- Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0480)
- Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
- Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0482)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Magnesium level (HCPCS:83735)
- Folic acid level, serum (HCPCS:82746)
- Urine microalbumin (protein) level (HCPCS:82043)
- Ferritin (blood protein) level (HCPCS:82728)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
- Bacterial colony count, urine (HCPCS:87086)
- Iron level (HCPCS:83540)
- Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
- Thyroid hormone, t3 measurement, free (HCPCS:84481)
- Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
- Testosterone (hormone) level, total (HCPCS:84403)
- Apolipoprotein level (HCPCS:82172)
- Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
- Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Bacterial culture for aerobic isolates (HCPCS:87077)
- Uric acid level, blood (HCPCS:84550)
- Ldl cholesterol level (HCPCS:83721)
- Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique (HCPCS:87653)
- Iron binding capacity (HCPCS:83550)
- Sex hormone binding globulin (protein) level (HCPCS:84270)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
- Valproic acid level, total (HCPCS:80164)
- Automated urinalysis test (HCPCS:81003)
- Phosphate level (HCPCS:84100)
- Red blood count, automated test (HCPCS:85045)
- Detection test by nucleic acid for herpes simplex virus, amplified probe technique (HCPCS:87529)
- Thyroid hormone, t3 measurement, total (HCPCS:84480)
- Transferrin (iron binding protein) level (HCPCS:84466)
- Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative (HCPCS:86328)
- Lipoprotein (a) level (HCPCS:83695)
- Bilirubin level, direct (HCPCS:82248)
- Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique (HCPCS:87498)
- Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique (HCPCS:87486)
- Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique (HCPCS:87581)
- Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
- Dehydroepiandrosterone (dhea-s) hormone level (HCPCS:82627)
- Lithium level (HCPCS:80178)
- Liver function blood test panel (HCPCS:80076)
- Psa (prostate specific antigen) measurement, total (HCPCS:84153)
- Urine pregnancy test (HCPCS:81025)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique (HCPCS:87661)
- Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique (HCPCS:87491)
- Gonadotropin, follicle stimulating (reproductive hormone) level (HCPCS:83001)
- Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique (HCPCS:87591)
- Detection of mycoplasma genitalium by dna or rna probe (HCPCS:87563)
- Thyroxine (thyroid chemical), total (HCPCS:84436)
- Measurement of total estradiol (hormone) (HCPCS:82670)
- Insulin measurement, total (HCPCS:83525)
- Levetiracetam level (HCPCS:80177)
- Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
- Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique (HCPCS:87641)
- Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
- Parathormone (parathyroid hormone) level (HCPCS:83970)
- Prolactin (milk producing hormone) level (HCPCS:84146)
- Lactate dehydrogenase (enzyme) level (HCPCS:83615)
- Screening test for autoimmune disorder (HCPCS:86038)
- Microsomal antibodies (autoantibody) measurement (HCPCS:86376)
- Detection test for gardnerella vaginalis (bacteria), amplified probe technique (HCPCS:87511)
- Acute hepatitis panel (HCPCS:80074)
- Glutamyltransferase (liver enzyme) level (HCPCS:82977)
- Progesterone (reproductive hormone) level (HCPCS:84144)
- Natriuretic peptide (heart and blood vessel protein) level (HCPCS:83880)
- Homocysteine (amino acid) level (HCPCS:83090)
- Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0483)
- Hepatitis c antibody measurement (HCPCS:86803)
- Hepatitis b core antibody (igm) measurement (HCPCS:86705)
- Total protein level, blood (HCPCS:84155)
- Protein measurement, serum (HCPCS:84165)
- Measurement of hepatitis a antibody (igm) (HCPCS:86709)
- Analysis for antibody, treponema pallidum (HCPCS:86780)
- Kidney function blood test panel (HCPCS:80069)
- Rheumatoid factor level (HCPCS:86431)
- Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies (HCPCS:87389)
- Detection test by immunoassay with direct visual observation for hiv-1 antigen, with hiv-1 and hiv-2 antibodies (HCPCS:87806)
- Prealbumin (protein) level (HCPCS:84134)
- Infectious agent drug susceptibility analysis (HCPCS:87900)
- Immunologic analysis technique on serum (immunofixation) (HCPCS:86334)
- Gonadotropin, luteinizing (reproductive hormone) level (HCPCS:83002)
- Lipase (fat enzyme) level (HCPCS:83690)
- Cortisol (hormone) measurement, total (HCPCS:82533)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) (HCPCS:87184)
- Measurement of hepatitis a antibody (HCPCS:86708)
- Bacterial culture, any other source except urine, blood or stool, aerobic (HCPCS:87070)
- Bacterial culture, any source, except blood, anaerobic (HCPCS:87075)
- Special gram or giemsa stain for microorganism (HCPCS:87205)
- Calcium level, total (HCPCS:82310)
- Islet cell (pancreas) antibody measurement (HCPCS:86341)
- Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
- Amylase (enzyme) level (HCPCS:82150)
- Phenytoin level, total (HCPCS:80185)
- Measurement of antibody for assessment of autoimmune disorder, titer (HCPCS:86039)
- Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique (HCPCS:87634)
- Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
- Measurement c-reactive protein for detection of infection or inflammation, high sensitivity (HCPCS:86141)
- Liver enzyme (sgot), level (HCPCS:84450)
- Liver enzyme (sgpt), level (HCPCS:84460)
- Detection test by immunoassay technique for hepatitis b surface antigen (HCPCS:87340)
The enumeration date for this NPI number is 11/15/2018 and was last updated on 3/3/2023.
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 |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 003221539A | MEDICAID | GEORGIA | |
