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GATES RAPID DIAGNOSTIC LABORATORY OF ATLANTA NPI 1710284435


NPI Information

NPI: 1710284435
Provider Name: GATES RAPID DIAGNOSTIC LABORATORY OF ATLANTA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
777 CLEVELAND AVE SW
SUITE 100
ATLANTA, GA
ZIP 30315
Phone: (404) 763-0093
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GATES RAPID DIAGNOSTIC LABORATORY OF ATLANTA is a general practice in Atlanta, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GATES RAPID DIAGNOSTIC LABORATORY OF ATLANTA NPI is 1710284435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

777 CLEVELAND AVE SW
SUITE 100
ATLANTA, GA
ZIP 30315-129
Phone: (404) 763-0093

The provider's authorized official is Jackson L. Gates .
The authorized official title is Owner and has the following contact phone number (678) 591-6509.

The enumeration date for this NPI number is 2/15/2011 and was last updated on 2/15/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice038767GEORGIAYes

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: 4/28/2024

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