REVEAL DIAGNOSTIC SERVICES, INC


Address: 3915 Cascade Rd Sw Ste 355, Atlanta, GA 30331-8520
Phone: 4045499680

REVEAL DIAGNOSTIC SERVICES, INC (NPI# 1285278846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285278846
Entity Type Organization
Organization Name REVEAL DIAGNOSTIC SERVICES, INC
Practice Address 3915 Cascade Rd Sw Ste 355
Atlanta
GA 30331-8520
Practice Telephone 4045499680
Enumeration Date 2019-11-06
Last Update Date 2019-11-06
Authorized Official Name CAROLYN WELLER (OWNER)
Authorized Official Telephone 4045499680
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 3915 CASCADE RD SW STE 355
City ATLANTA
State GA
Zip Code 30331-8520

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1346759974 Neva R Allison Nurse Practitioner 2611 Dayview Ln, Atlanta, GA 30331 2017-09-26
1538678255 Natalie Mckay Technician/Technologist 3915 Cascade Rd, 220, Atlanta, GA 30331 2017-09-26
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1073031688 Kristen Wooldridge Pharmacist 3695 Cascade Road, Atlanta, GA 30331 2017-09-04
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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1396297263 Promed Testing, LLC Clinical Medical Laboratory 120 Valle Jo Ct, Atlanta, GA 30349-3644 2016-10-26
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City ATLANTA
Zip Code 30331

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Dataset Information

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.

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