AZALEA SLEEP LABS, INC. (NPI# 1144398082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144398082 |
| Entity Type | Organization |
| Organization Name | AZALEA SLEEP LABS, INC. |
| Practice Address |
2935 N Ashley St Ste 124 Valdosta GA 31602-1777 |
| Practice Telephone | 2293337601 |
| Practice Fax Number | 2293337602 |
| Mailing Telephone | 2293337601 |
| Mailing Fax Number | 2293337602 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | MR. LARRY PHILIP SIMPSON (PRESIDENT) |
| Authorized Official Telephone | 2295638576 |
| Authorized Official Credential | RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
2935 N ASHLEY ST STE 124 |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720074602 | Penelope Edwards-conrad | Psychiatry & Neurology | 2935 N Ashley St, D116, Valdosta, GA 31602-1777 | 2005-09-26 |
| 1215354501 | South Georgia Upper Cervical Chiropractic, LLC | Chiropractor | 2935 N Ashley St, Ste 109, Valdosta, GA 31602-1777 | 2014-03-25 |
| 1609292895 | Clinton Mcwilliams Sheffield | Chiropractor | 2935 N Ashley St, Suite 109, Valdosta, GA 31602-1777 | 2014-03-12 |
| 1538441704 | Bari Snipes | Marriage & Family Therapist | 2935 N Ashley St, Bldg F, Valdosta, GA 31602-1777 | 2011-09-14 |
| 1962780171 | Integrative Health PC | Psychiatry & Neurology | 2935 N Ashley St, Suite 114, Valdosta, GA 31602-1777 | 2011-07-22 |
| 1053542514 | Jayne Deon Hodges-wade | Social Worker | 2935 N Ashley St, Building F, Valdosta, GA 31602-1777 | 2009-08-01 |
| 1801026364 | Jenny Mae Mciver | Marriage & Family Therapist | 2935 N Ashley St, Valdosta, GA 31602-1777 | 2009-07-18 |
| 1811138258 | Valdosta Family Dentistry | Dentist | 2935 N Ashley St, Suite 130, Valdosta, GA 31602-1777 | 2009-03-16 |
| 1326289059 | Better Mood Clinic | Social Worker | 2935 N Ashley St, Bldg. F, Valdosta, GA 31602-1777 | 2009-03-09 |
| 1588804025 | Kimberly Ann Reuter | Counselor | 2935 N Ashley St, Bldg F, Valdosta, GA 31602-1777 | 2009-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1578121315 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 341 Northside Dr, Valdosta, GA 31602-1861 | 2019-06-05 |
| 1225413099 | South Georgia Toxicology, Inc | Clinical Medical Laboratory | 3312 N Oak Street Ext, B3, Valdosta, GA 31605-1065 | 2015-07-22 |
| 1174507628 | Laboratory Corporation of America | Clinical Medical Laboratory | 410 Connell Rd, Suite C, Valdosta, GA 31602-0000 | 2005-11-29 |
| 1407850985 | Solstas Lab Partners Group LLC | Clinical Medical Laboratory | 2906 Julia Dr, Valdosta, GA 31602-1435 | 2005-06-13 |
| 1770100422 | Hospital Authority of Valdosta & Lowndes County, Ga | Clinical Medical Laboratory | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-06-29 |
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| 1497371744 | Gamma Laboratories, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 690, Sandy Springs, GA 30328-4931 | 2020-06-23 |
| 1346864592 | Omega Genomix, LLC | Clinical Medical Laboratory | 200 Washington St Nw Ste C, Gainesville, GA 30501-3622 | 2020-06-03 |
| 1467072231 | Ft Medical Group, LLC | Clinical Medical Laboratory | 777 Cleveland Ave Sw Ste 516, Atlanta, GA 30315-7115 | 2020-04-22 |
| 1184264426 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 120 B Carter Ave, Blackshear, GA 31516-1561 | 2020-01-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.