REGIONAL LAB OUTREACH (NPI# 1770987364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770987364 |
| Entity Type | Organization |
| Organization Name | REGIONAL LAB OUTREACH |
| Practice Address |
1199 Prince Ave Regional Lab Outreach Athens GA 30606-2797 |
| Mailing Address |
1199 Prince Avenue Regional Lab Outreach Athens GA 30606 |
| Practice Telephone | 7064753318 |
| Practice Fax Number | 7064755349 |
| Mailing Telephone | 7064753318 |
| Mailing Fax Number | 7064755349 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | WENDY COOK (SENIOR VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 7064753463 |
| Is Organization Subpart | Y |
| Parent Organization Name | PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 029-007 | GA | Hospitals |
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00000074A | 05 |
| Street Address |
1199 PRINCE AVE REGIONAL LAB OUTREACH |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902271 | Joel P Cook | Radiology | 1199 Prince Ave, Athens, GA 30606-2797 | 2005-06-14 |
| 1780283200 | Jenny Edwards Tolley | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-10-26 |
| 1649896143 | Monique Mellissa Hayles | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-06-19 |
| 1407478514 | Andrew Finley Woodham | Physician Assistant | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-05-12 |
| 1366062713 | Mecca Sabri Bennett | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-04-24 |
| 1710521778 | Jessica Russell | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-11-03 |
| 1083178321 | Mary H Brown | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-30 |
| 1144784372 | Jennifer Simpson Etheridge | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-22 |
| 1629542089 | Ansley Brooke Waters | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-17 |
| 1740750462 | Jonathan Hydrick | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| 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 |
|---|---|---|---|---|
| 1891009825 | 1chinomed Inc | Clinical Medical Laboratory | 400 E State St, Athens, OH 45701-1856 | 2010-08-02 |
| 1528281235 | Athens Medical Laboratory Associates, Inc. | Clinical Medical Laboratory | 400 East State Street, Athens, OH 45701 | 2007-04-11 |
| 1700297926 | Sheltering Arms Hospital Foundation | Clinical Medical Laboratory | 55 Hospital Dr, Athens, OH 45701-2302 | 2014-05-09 |
| 1316282700 | Athens Medical Testing LLC | Clinical Medical Laboratory | 26 E Park Dr Ste 105, Athens, OH 45701-5003 | 2012-12-11 |
| 1760750137 | Kaiser Permanente | Clinical Medical Laboratory | 2142 W Broad St, Bldg 200, Athens, GA 30606-3546 | 2011-12-13 |
| 1962451153 | Guthrie Medical Group, P.C. | Clinical Medical Laboratory | 412 S Main St, Athens, PA 18810-1618 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777899 | White Coat Sciences LLC | Clinical Medical Laboratory | 315 Bankhead Hwy Ste A, Carrollton, GA 30117-2487 | 2020-10-11 |
| 1851998264 | P23 Labs, LLC | Clinical Medical Laboratory | 7426 Hodgson Memorial Dr, Savannah, GA 31406-2609 | 2020-10-08 |
| 1871190686 | Allegiant Solutions LLC | Clinical Medical Laboratory | 3312 N Oak Street Ext Ste G, Valdosta, GA 31605-1065 | 2020-10-05 |
| 1184221376 | Darlene Gordon | Clinical Medical Laboratory | 9100 White Bluff Rd Ste 106, Savannah, GA 31406-4673 | 2020-10-01 |
| 1841807849 | Gold Coast Diagnostics, LLC | Clinical Medical Laboratory | 4390 Governor's Drive, 407, Forest Park, GA 30297-3029 | 2020-09-24 |
| 1154936979 | Achilles Healthcare LLC | Clinical Medical Laboratory | 6183 Indian Wood Cir Se, Mableton, GA 30126-2964 | 2020-09-09 |
| 1033737382 | Community Health and Wellness Lab | Clinical Medical Laboratory | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 | 2020-07-13 |
| 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 |
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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.