LAB STAR MEDICAL LABORATORIES, LLC (NPI# 1760494264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760494264 |
| Entity Type | Organization |
| Organization Name | LAB STAR MEDICAL LABORATORIES, LLC |
| Practice Address |
226 Alcovy St Ste. A - 1 Monroe GA 30655-2183 |
| Mailing Address |
Po Box 1949 Monroe GA 30655-1998 |
| Practice Telephone | 7702660613 |
| Practice Fax Number | 7702074991 |
| Mailing Telephone | 7702660613 |
| Mailing Fax Number | 7702074991 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | TIM DRAKE (OWNER) |
| Authorized Official Telephone | 7702660613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 147-004 | GA | Laboratories |
| Street Address |
226 ALCOVY ST STE. A - 1 |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738540 | Children & Adult Therapy Services | Rehabilitation Practitioner | 226 Alcovy St, Ste G-1, Monroe, GA 30655-2183 | 2005-05-31 |
| 1710227939 | Stephanie Bennett | Registered Nurse | 226 Alcovy St, Monroe, GA 30655-2183 | 2013-02-25 |
| 1770820235 | Child & Family Therapy Solutions, Inc. | Counselor | 226 Alcovy St, Suite A-3, Monroe, GA 30655-2183 | 2013-01-03 |
| 1679697692 | Lisette Hernandez | Speech-Language Pathologist | 226 Alcovy St, Suite G-1, Monroe, GA 30655-2183 | 2007-03-16 |
| 1447255724 | Betty J Foster | Counselor | 226 Alcovy St, Monroe, GA 30655-2183 | 2005-06-14 |
| 1497759013 | Deborah Jean Moriarity | Physical Therapist | 226 Alcovy St, Monroe, GA 30655-2183 | 2005-06-10 |
| 1548264161 | David Bruce Bollinger | Occupational Therapist | 226 Alcovy St, Ste G-1, Monroe, GA 30655-2183 | 2005-06-10 |
| 1790788073 | Ruth Ellen Roberts | Speech-Language Pathologist | 226 Alcovy St, Monroe, GA 30655-2183 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| 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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| 1366907701 | Black Water Lab LLC | Clinical Medical Laboratory | 4150 Old Sterlington Rd Ste C, Monroe, LA 71203-2670 | 2019-02-08 |
| 1982101929 | Golgi Labs, LLC | Clinical Medical Laboratory | 333 Alcovy St Ste 4, Monroe, GA 30655-2180 | 2018-04-06 |
| 1992220057 | World Wide Toxicology LLC | Clinical Medical Laboratory | 307 Stewart Rd, Monroe, MI 48162-4393 | 2017-08-10 |
| 1104274075 | Affinity Health Group, LLC | Clinical Medical Laboratory | 2516 Broadmoor Boulevard, Suite 1c, Monroe, LA 71201 | 2016-06-01 |
| 1639577091 | Specialty Drug Testing, LLC | Clinical Medical Laboratory | 1300 Finks Hideaway Rd, Monroe, LA 71203-2804 | 2014-12-16 |
| 1235495136 | B.a.t. Collections Service LLC | Clinical Medical Laboratory | 2105 Justice St Ste B, Monroe, LA 71201-3602 | 2012-04-04 |
| 1104019520 | Cassandra Faye Bethea | Clinical Medical Laboratory | 2007 Stepping Stone Ln, Monroe, NC 28110-7106 | 2007-08-20 |
| Find all providers in MONROE | ||||
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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.