FOAM LABS INC (NPI# 1811162068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811162068 |
| Entity Type | Organization |
| Organization Name | FOAM LABS INC |
| Practice Address |
2745 Bankers Industrial Drive Atlanta GA 30360 |
| Mailing Address |
6300 Powers Ferry Rd Suite 600-346 Atlanta GA 30339 |
| Practice Telephone | 7702466400 |
| Practice Fax Number | 7702466401 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | CARL RICHARD VALENTINO JR. (VICE PRESIDENT OF SALES) |
| Authorized Official Telephone | 7702466423 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| Street Address |
2745 BANKERS INDUSTRIAL DRIVE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669666376 | Christine Hunt | Case Manager/Care Coordinator | 2928 Aspen Woods Entry, Doraville, GA 30360 | 2007-09-05 |
| 1609937986 | Scott Alan Ackerman | Chiropractor | 5025-h Winters Chapel Road, Atlanta, GA 30360 | 2006-12-12 |
| 1841389723 | Mike Greenberg | Chiropractor | 6035 Peachtree Rd Ste C209, Doraville, GA 30360 | 2006-10-11 |
| 1336124304 | Emanuel Joseph | Preventive Medicine | 3900 Motors Industrial Way, Mcd Doraville, Doraville, GA 30360 | 2005-12-13 |
| 1528436367 | Bioconfirm Laboratories LLC | Clinical Medical Laboratory | 6755 Peachtree Industrial Blvd, Suite 150, Doraville, GA 30360 | 2015-09-10 |
| 1285744722 | Frank Jefferson Cook Jr. | Internal Medicine | 4535 Winters Chapel Rd, Atlanta, GA 30360 | 2006-08-30 |
| 1346897725 | Mackenzie Warren | Registered Nurse | 2753 Fleur De Lis Way, Atlanta, GA 30360-1203 | 2019-08-21 |
| 1477973238 | Rebecca Lamont | Behavioral Analyst | 5350 Dunwoody Club Crk, Atlanta, GA 30360-1362 | 2014-04-21 |
| 1396205316 | David Moshe Yashar | Student in an Organized Health Care Education/Training Program | 5381 Dunwoody Club Crk, Atlanta, GA 30360-1363 | 2019-03-25 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| Find all providers in zip 30360 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295862332 | Diane Raulersons Home Medical Equipment | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2019 Alice St, Waycross, GA 31501-6209 | 2007-02-27 |
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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.