SOUTHERN CLINICAL LABORATORY INC. (NPI# 1396751103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396751103 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CLINICAL LABORATORY INC. |
| Practice Address |
405 W Pike St Suiet A Lawrenceville GA 30046-4845 |
| Practice Telephone | 7705134140 |
| Practice Fax Number | 7706829529 |
| Mailing Telephone | 7705134140 |
| Mailing Fax Number | 7706829529 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-07-06 |
| Authorized Official Name | MR. RAVINDER C REDDY (PRESIDENT) |
| Authorized Official Telephone | 7705134140 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 067-025 | GA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000494535A | 05 |
| Street Address |
405 W PIKE ST SUIET A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4845 |
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| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1710409545 | Elite Medical Laboratories Inc | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd Ne Ste 1300, Lawrenceville, GA 30043-4871 | 2017-07-13 |
| 1285169359 | Envision Healthcare Resources, LLC | Clinical Medical Laboratory | 629 Airport Rd, Suite C, Lawrenceville, GA 30046-4474 | 2017-04-26 |
| 1013382431 | Clio Laboratories, LLC | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd Ne Ste 2300, Lawrenceville, GA 30043-4871 | 2015-12-10 |
| 1073990701 | Allegiance Health Group LLC | Clinical Medical Laboratory | 1719 Brunswick Ave, Lawrenceville, NJ 08648-4665 | 2015-05-01 |
| 1093069270 | Confirmatrix Laboratory Inc | Clinical Medical Laboratory | 1770 Cedars Rd Ste 200, Lawrenceville, GA 30045-6702 | 2012-11-09 |
| 1740313196 | Hispanic Medical Management | Clinical Medical Laboratory | 706 Grayson Hwy, Suite 213, Lawrenceville, GA 30045-5707 | 2007-03-14 |
| 1306376504 | Nyx Health, LLC | Clinical Medical Laboratory | 1770 Cedars Rd Ste 200, Lawrenceville, GA 30045-6702 | 2017-06-20 |
| 1104363746 | Elite Diagnostics Labs, Inc | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd Ne, Suite 1300, Lawrenceville, GA 30043-4851 | 2017-01-20 |
| 1033437629 | Kaiser Permanente | Clinical Medical Laboratory | 455 Philip Blvd, Suite 130, Lawrenceville, GA 30046-8767 | 2010-05-07 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.