ATLANTA PATHOLOGY PA (NPI# 1538311907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538311907 |
| Entity Type | Organization |
| Organization Name | ATLANTA PATHOLOGY PA |
| Practice Address |
315 Boulevard Street 240 Atlanta GA 30312 |
| Mailing Address |
Po Box 491239 Lawrenceville GA 30049-0058 |
| Practice Telephone | 4045220414 |
| Mailing Telephone | 8008877338 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2010-03-18 |
| Authorized Official Name | STEVEN BONDELL (DIRECTOR) |
| Authorized Official Telephone | 4045220414 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 00042 | 01 |
| GA | 00002219A1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104893353 | Atlanta Pathology Pa | Pathology | 315 Boulevard Ne, Suite 240, Atlanta, GA 30312-1200 | 2006-03-07 |
| Street Address |
315 BOULEVARD STREET 240 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| 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 |
|---|---|---|---|---|
| 1033737382 | Community Health and Wellness Lab | Clinical Medical Laboratory | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 | 2020-07-13 |
| 1467072231 | Ft Medical Group, LLC | Clinical Medical Laboratory | 777 Cleveland Ave Sw Ste 516, Atlanta, GA 30315-7115 | 2020-04-22 |
| 1992344774 | Pulse Medical Diagnostic | Clinical Medical Laboratory | 2302 Parklake Dr Ne Ste 405, Atlanta, GA 30345-2896 | 2019-12-27 |
| 1285278846 | Reveal Diagnostic Services, Inc | Clinical Medical Laboratory | 3915 Cascade Rd Sw Ste 355, Atlanta, GA 30331-8520 | 2019-11-06 |
| 1679062103 | Sigma Labs, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 602, Atlanta, GA 30328-4931 | 2018-05-10 |
| 1588175194 | Beta Labs, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 600, Atlanta, GA 30328-4931 | 2017-10-23 |
| 1164962882 | Ipsum Diagnostics LLC | Clinical Medical Laboratory | 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 2017-02-28 |
| 1396297263 | Promed Testing, LLC | Clinical Medical Laboratory | 120 Valle Jo Ct, Atlanta, GA 30349-3644 | 2016-10-26 |
| 1659726487 | Pure Diagnostic, LLC | Clinical Medical Laboratory | 4025 Pleasantdale Rd Ste 525, Atlanta, GA 30340-4265 | 2016-04-29 |
| 1063892396 | Otogenetics Corporation | Clinical Medical Laboratory | 4553 Winters Chapel Rd Ste 100, Atlanta, GA 30360-2703 | 2015-06-02 |
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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.