ELITE MEDICAL LABORATORIES INC (NPI# 1710409545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710409545 |
| Entity Type | Organization |
| Organization Name | ELITE MEDICAL LABORATORIES INC |
| Practice Address |
1130 Hurricane Shoals Rd Ne Ste 1300 Lawrenceville GA 30043-4871 |
| Practice Telephone | 7064004295 |
| Practice Fax Number | 7705458523 |
| Mailing Telephone | 4044517241 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | WALID M DIAB (OWNER) |
| Authorized Official Telephone | 4044517241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
1130 HURRICANE SHOALS RD NE STE 1300 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-4871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1285169359 | Envision Healthcare Resources, LLC | Clinical Medical Laboratory | 629 Airport Rd, Suite C, Lawrenceville, GA 30046-4474 | 2017-04-26 |
| 1013382431 | Clio Laboratories, LLC | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd Ne Ste 2300, Lawrenceville, GA 30043-4871 | 2015-12-10 |
| 1073990701 | Allegiance Health Group LLC | Clinical Medical Laboratory | 1719 Brunswick Ave, Lawrenceville, NJ 08648-4665 | 2015-05-01 |
| 1093069270 | Confirmatrix Laboratory Inc | Clinical Medical Laboratory | 1770 Cedars Rd Ste 200, Lawrenceville, GA 30045-6702 | 2012-11-09 |
| 1740313196 | Hispanic Medical Management | Clinical Medical Laboratory | 706 Grayson Hwy, Suite 213, Lawrenceville, GA 30045-5707 | 2007-03-14 |
| 1396751103 | Southern Clinical Laboratory Inc. | Clinical Medical Laboratory | 405 W Pike St, Suiet A, Lawrenceville, GA 30046-4845 | 2006-08-01 |
| 1306376504 | Nyx Health, LLC | Clinical Medical Laboratory | 1770 Cedars Rd Ste 200, Lawrenceville, GA 30045-6702 | 2017-06-20 |
| 1104363746 | Elite Diagnostics Labs, Inc | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd Ne, Suite 1300, Lawrenceville, GA 30043-4851 | 2017-01-20 |
| 1033437629 | Kaiser Permanente | Clinical Medical Laboratory | 455 Philip Blvd, Suite 130, Lawrenceville, GA 30046-8767 | 2010-05-07 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.