IPSUM DIAGNOSTICS LLC (NPI# 1164962882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164962882 |
| Entity Type | Organization |
| Organization Name | IPSUM DIAGNOSTICS LLC |
| Practice Address |
8607 Roberts Dr Ste 125 Atlanta GA 30350 |
| Mailing Address |
8607 Roberts Dr Ste 125 Atlanta GA 30350-2205 |
| Practice Telephone | 6789152299 |
| Practice Fax Number | 8443648451 |
| Mailing Telephone | 6789152299 |
| Mailing Fax Number | 8443648451 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | LAUREN BRICKS (MANAGING MEMBER) |
| Authorized Official Telephone | 6787568565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 11D2125186 | GA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003198560A | 05 | |
| GA | GA LICENSE | 060-403 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 6789152299 | 8443648451 |
| 1360 Center Dr, Ste 210, Dunwoody, GA 303384135 | 6787568565 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IPSUM DIAGNOSTICS LLC | 8607 Roberts Dr Ste 125, Atlanta, GA 30350-2205 |
| Colorado Business Entities | Ipsum Diagnostics LLC | 8607 Roberts Drive, Suite 125, Atlanta, GA 30350 |
| Street Address |
8607 ROBERTS DR STE 125 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1619489390 | Breast Cancer Breast Care Products, LLC Dba Pink Ribbon Consulting | Durable Medical Equipment & Medical Supplies | 55 Saddleview Run, Atlanta, GA 30350 | 2017-11-02 |
| 1679090724 | Deliluz Roubert Echevarria | Speech-Language Pathologist | 8404 Roswell Rd Apt Q, Atlanta, GA 30350 | 2017-08-29 |
| 1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
| 1902297153 | Hope Stoney | Chiropractor | 701 Harbor Pointe Parkway, Sandy Springs, GA 30350 | 2015-02-10 |
| 1942698386 | Laurie Johnson | Counselor | 1605 Lazy River Lane, Atlanta, GA 30350 | 2015-01-08 |
| 1497175905 | Ispm Labs, LLC | Clinical Medical Laboratory | 8601 Dunwoody Pl Ste 444, Atlanta, GA 30350 | 2014-04-23 |
| 1295097236 | Ginger Liane Hill | Behavioral Analyst | 1215 Hightower Trail, Bldg. B #120, Atlanta, GA 30350 | 2012-06-14 |
| 1023370608 | Ashley Hamilton | Behavioral Analyst | 1215 Hightower Trail Building B, #120, Atlanta, GA 30350 | 2012-06-11 |
| Find all providers in zip 30350 | ||||
| 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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| 1992344774 | Pulse Medical Diagnostic | Clinical Medical Laboratory | 2302 Parklake Dr Ne Ste 405, Atlanta, GA 30345-2896 | 2019-12-27 |
| 1285278846 | Reveal Diagnostic Services, Inc | Clinical Medical Laboratory | 3915 Cascade Rd Sw Ste 355, Atlanta, GA 30331-8520 | 2019-11-06 |
| 1679062103 | Sigma Labs, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 602, Atlanta, GA 30328-4931 | 2018-05-10 |
| 1588175194 | Beta Labs, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 600, Atlanta, GA 30328-4931 | 2017-10-23 |
| 1396297263 | Promed Testing, LLC | Clinical Medical Laboratory | 120 Valle Jo Ct, Atlanta, GA 30349-3644 | 2016-10-26 |
| 1659726487 | Pure Diagnostic, LLC | Clinical Medical Laboratory | 4025 Pleasantdale Rd Ste 525, Atlanta, GA 30340-4265 | 2016-04-29 |
| 1063892396 | Otogenetics Corporation | Clinical Medical Laboratory | 4553 Winters Chapel Rd Ste 100, Atlanta, GA 30360-2703 | 2015-06-02 |
| 1659781227 | Georgia Pathology | Clinical Medical Laboratory | 5335 Old National Hwy, Atlanta, GA 30349-3203 | 2014-05-05 |
| Find all providers in ATLANTA | ||||
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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.