REGIONAL LAB OUTREACH NPI 1770987364

NPI Information

  • NPI: 1770987364
  • Provider Name: REGIONAL LAB OUTREACH
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Address: 1199 PRINCE AVE
    REGIONAL LAB OUTREACH
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 475-3318

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NPI Details

REGIONAL LAB OUTREACH is a clinical medical laboratory in Athens, 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. REGIONAL LAB OUTREACH NPI is 1770987364. The provider is registered as an organization entity type.

The provider's business location address is:

1199 PRINCE AVE
REGIONAL LAB OUTREACH
ATHENS, GA
ZIP 30606-797
Phone: (706) 475-3318
Fax: (706) 475-5349

The provider's authorized official is Wendy Cook .
The authorized official title is Senior Vice President And Cfo and has the following contact phone number (706) 475-3463.

The enumeration date for this NPI number is 10/10/2014 and was last updated on 11/15/2016.

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
1282N00000XGeneral Acute Care Hospital029-007GEORGIANo
2291U00000XClinical Medical LaboratoryYes

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
100000074AMEDICAIDGEORGIA
2110074MEDICARE UPIN

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: 11/21/2025

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