Southern Clinical Laboratory Inc.

LBN: Southern Clinical Laboratory Inc.
Southern Clinical Laboratory Inc. is an health care organization with primary practice located at 405 W Pike St Suiet A, Lawrenceville GA 30046-4845. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Southern Clinical Laboratory Inc. can be contacted via phone (770) 513-4140, or through Reddy, Ravinder C via phone (770) 513-4140.

Contact Information

Primary practice address
405 W Pike St Suiet A Lawrenceville GA 30046-4845
Phone: (770) 513-4140
Fax: (770) 682-9529
Website:
Map and Directions
Authorized official contact:
Name: Reddy, Ravinder C MS
Phone: (770) 513-4140

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 067-025 Georgia

Profile Details

NPI number 1396751103
LBN Legal business name Southern Clinical Laboratory Inc.
DBA Doing business as
Authorized official Reddy, Ravinder C MS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 6th, 2011 - about 14 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 1396751103 NPPES
Georgia MEDICAID 000494535A

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