1366524563 NPI number — LABORATORY SOUTH INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366524563 NPI number — LABORATORY SOUTH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABORATORY SOUTH INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366524563
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 330
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATKINSVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30677-0009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-270-9471
Provider Business Mailing Address Fax Number:
770-270-9470

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
189 W ATHENS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINDER
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30680-2295
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-270-9471
Provider Business Practice Location Address Fax Number:
770-270-9470
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SPRINGER
Authorized Official First Name:
MARK
Authorized Official Middle Name:
T
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
770-270-9471

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  044134 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 320731 . This is a "WELLCARE ID NUMBER" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 10066591 . This is a "AMERIGROUP ID NUMBER" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 389117 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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