Egl Genetic Diagnostics, Llc

LBN: Egl Genetic Diagnostics, Llc
Egl Genetic Diagnostics, Llc is an health care organization with primary practice located at 2460 Mountain Industrial Blvd , Tucker GA 30084-3812. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Egl Genetic Diagnostics, Llc can be contacted via phone (470) 378-2200, or through Urbanek, Matthew Gary via phone (816) 554-5111.

Contact Information

Primary practice address
2460 Mountain Industrial Blvd Tucker GA 30084-3812
Phone: (470) 378-2200
Fax: (470) 378-2250
Website:
Map and Directions
Authorized official contact:
Name: Urbanek, Matthew Gary
Phone: (816) 554-5111

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1417330465
LBN Legal business name Egl Genetic Diagnostics, Llc
DBA Doing business as
Authorized official Urbanek, Matthew Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2015
Last updated Oct 15th, 2020 - about 5 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 1417330465 NPPES
Georgia MEDICAID 003171558A

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