EXCEL DIAGNOSTIC LABORATORY, INC.


Address: 2740 Jefferson St, Suite B, Austell, GA 30168-4014
Phone: 4042190912

EXCEL DIAGNOSTIC LABORATORY, INC. (NPI# 1326594722) 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) 1326594722
Entity Type Organization
Organization Name EXCEL DIAGNOSTIC LABORATORY, INC.
Practice Address 2740 Jefferson St
Suite B
Austell
GA 30168-4014
Practice Telephone 4042190912
Enumeration Date 2016-08-26
Last Update Date 2016-08-26
Authorized Official Name MR. EUGENE H. RUSSELL III (TECHNICAL DIRECTOR)
Authorized Official Telephone 4042190912
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 033-109 GA Laboratories

Office Location

Street Address 2740 JEFFERSON ST
SUITE B
City AUSTELL
State GA
Zip Code 30168-4014

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NPI Name Taxonomy Address Enumeration
1801281654 Accord Hospice of Atlanta Hospice Care, Community Based 2740 Jefferson St, Suite A5, Austell, GA 30168-4014 2015-03-30

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1851443303 Kathleen S Jarboe Registered Nurse 1707 North Blairs Bridge Road, Austell, GA 30168 2007-01-17
1104975648 Deborah Bryan Social Worker 6133 Love Street, Austell, GA 30168 2007-01-10
1982252250 Yosefa Stokes Nurse Practitioner 1707 North Blairs Bridge Road, Austell, GA 30168 2019-08-29
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1205049285 William M Battles Psychiatry & Neurology 1707 North Blairs Bridge Road, Austell, GA 30168 2007-05-07
1427198878 Douglas County Community Services Board Community/Behavioral Health 1707 North Blairs Bridge Road, Austell, GA 30168 2007-02-07
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043545023 Quantum Diagnostic Lab Inc Clinical Medical Laboratory 5859 Love St, Suite 102, Austell, GA 30168-4030 2009-10-09
1497829279 Citizen's Diagnostic Laboratory Clinical Medical Laboratory 5860 Love St, Austell, GA 30168-4044 2006-11-20
1740654284 Wellstar Health System Clinical Medical Laboratory 3950 Austell Rd, Austell, GA 30106-1121 2015-11-20
1851553697 Kaiser Foundation Health Plan of Georgia Inc. Clinical Medical Laboratory 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 2008-07-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639777899 White Coat Sciences LLC Clinical Medical Laboratory 315 Bankhead Hwy Ste A, Carrollton, GA 30117-2487 2020-10-11
1851998264 P23 Labs, LLC Clinical Medical Laboratory 7426 Hodgson Memorial Dr, Savannah, GA 31406-2609 2020-10-08
1871190686 Allegiant Solutions LLC Clinical Medical Laboratory 3312 N Oak Street Ext Ste G, Valdosta, GA 31605-1065 2020-10-05
1184221376 Darlene Gordon Clinical Medical Laboratory 9100 White Bluff Rd Ste 106, Savannah, GA 31406-4673 2020-10-01
1841807849 Gold Coast Diagnostics, LLC Clinical Medical Laboratory 4390 Governor's Drive, 407, Forest Park, GA 30297-3029 2020-09-24
1154936979 Achilles Healthcare LLC Clinical Medical Laboratory 6183 Indian Wood Cir Se, Mableton, GA 30126-2964 2020-09-09
1033737382 Community Health and Wellness Lab Clinical Medical Laboratory 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 2020-07-13
1497371744 Gamma Laboratories, LLC Clinical Medical Laboratory 270 Carpenter Dr Ste 690, Sandy Springs, GA 30328-4931 2020-06-23
1346864592 Omega Genomix, LLC Clinical Medical Laboratory 200 Washington St Nw Ste C, Gainesville, GA 30501-3622 2020-06-03
1467072231 Ft Medical Group, LLC Clinical Medical Laboratory 777 Cleveland Ave Sw Ste 516, Atlanta, GA 30315-7115 2020-04-22
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Competitor

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City AUSTELL
Zip Code 30168

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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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