DECATUR DIAGNOSTIC LABORATORY, INC. (NPI# 1598729089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598729089 |
| Entity Type | Organization |
| Organization Name | DECATUR DIAGNOSTIC LABORATORY, INC. |
| Practice Address |
2828 Highway 31 S Decatur AL 35603-1538 |
| Practice Telephone | 2563559045 |
| Practice Fax Number | 2563559061 |
| Mailing Telephone | 2563559045 |
| Mailing Fax Number | 2563559061 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-07-29 |
| NPI Deactivation Date | 06/03/2008 |
| NPI Reactivation Date | 2008-07-28 |
| Authorized Official Name | MRS. KELLY ENGLAND (LAB MANAGER) |
| Authorized Official Telephone | 2563559045 |
| Authorized Official Credential | M.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
2828 HIGHWAY 31 S |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667513 | Jay Richard Solorio | Orthopaedic Surgery | 2828 Highway 31 S, Ste 112, Decatur, AL 35603-1538 | 2005-05-23 |
| 1831696806 | Stephanie Susan Rayl | Nurse Practitioner | 2828 Highway 31 S, Decatur, AL 35603-1538 | 2018-04-06 |
| 1316456726 | Debra Brown Phillips | Registered Nurse | 2828 Highway 31 S, Decatur, AL 35603-1538 | 2017-09-28 |
| 1780038372 | Rodney W. Harney Md | Nurse Practitioner | 2828 Highway 31 S, Suite 102, Decatur, AL 35603-1538 | 2016-04-20 |
| 1487018412 | Decatur Ambulatory Surgery Center | Anesthesiology | 2828 Highway 31 S, Decatur, AL 35603-1510 | 2016-04-06 |
| 1033587324 | Nrd Md LLC | Anesthesiology | 2828 Highway 31 S, Decatur, AL 35603-1510 | 2015-09-03 |
| 1992199517 | Amy Mcguire | Nurse Practitioner | 2828 Highway 31 S, Suite 102, Decatur, AL 35603-1510 | 2015-03-20 |
| 1134522485 | Dr. Pjm Reddy, Md | Internal Medicine | 2828 Highway 31 S, Suite 101, Decatur, AL 35603-1510 | 2014-10-01 |
| 1346670148 | Complete Choice Inc | Durable Medical Equipment & Medical Supplies | 2828 Highway 31 S, Suite 130, Decatur, AL 35603-1510 | 2013-11-15 |
| 1083913602 | New Life Family Chiropractic, PC | Chiropractor | 2828 Highway 31 S, Suite 104, Decatur, AL 35603-1510 | 2011-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
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| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1083988216 | Nexus Laboratories, Inc. | Clinical Medical Laboratory | 1670 Scott Blvd, Decatur, GA 30033 | 2012-03-06 |
| 1417240490 | Georgia Department of Public Health | Clinical Medical Laboratory | 1749 Clairmont Rd, Decatur, GA 30033-4005 | 2011-05-24 |
| 1386898641 | Lang Chiropractic Center, Inc. | Clinical Medical Laboratory | 2314 6th Ave Se, Suite C, Decatur, AL 35601-6559 | 2008-11-12 |
| 1457538134 | B & L Medical Laboratory | Clinical Medical Laboratory | 149 Sycamore St, Decatur, GA 30030-3338 | 2008-01-24 |
| 1851482376 | Recovery Consultants of Atlanta, Inc. | Clinical Medical Laboratory | 3423 Covington Dr Ste B, Decatur, GA 30032-1837 | 2006-09-28 |
| 1821071002 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2712 N Decatur Rd, Decatur, GA 30033-5930 | 2005-11-22 |
| 1699205351 | Laboratory Corporation of America | Clinical Medical Laboratory | 800 Medical Center Dr Ste C, Decatur, TX 76234-3844 | 2017-06-15 |
| 1144659848 | Healthcarelabs | Clinical Medical Laboratory | 5040 Snapfinger Woods Dr, Decatur, GA 30035-4020 | 2013-11-04 |
| 1871823328 | Kaiser Permanente | Clinical Medical Laboratory | 201 W Ponce De Leon Ave, Suite A, Decatur, GA 30030-3217 | 2010-01-06 |
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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.