Covid Community Testing Llc

LBN: Covid Community Testing Llc
Covid Community Testing Llc is an health care organization with primary practice located at 1000 Commerce Dr Ste 400 , Peachtree City GA 30269-3520. The organization recently has only one registered license in Ambulatory Health Care Facilities / Emergency Care, which is considered as the primary health care specialty. Covid Community Testing Llc can be contacted via phone (678) 364-8404, or through Walraven, Jamie W via phone (678) 364-8414.

Contact Information

Primary practice address
1000 Commerce Dr Ste 400 Peachtree City GA 30269-3520
Phone: (678) 364-8404
Fax: (678) 545-0146
Website:
Map and Directions
Authorized official contact:
Name: Walraven, Jamie W Doctor of Medicine (MD)
Phone: (678) 364-8414

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Emergency Care 261QE0002X

Profile Details

NPI number 1972112795
LBN Legal business name Covid Community Testing Llc
DBA Doing business as
Authorized official Walraven, Jamie W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2020
Last updated Feb 19th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972112795 NPPES
Georgia Other 4026 MEDICARE - GA

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