HONG HUONG THI PHAM (NPI# 1831699222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831699222 |
| Entity Type | Individual |
| Full Name | HONG HUONG THI PHAM |
| Practice Address |
1710 Lake Lucerne Rd Sw Lilburn GA 30047-4534 |
| Mailing Address |
4500 Satellite Blvd Ste 2400 Duluth GA 30096-5047 |
| Practice Telephone | 4042008805 |
| Mailing Telephone | 4042008805 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1710 LAKE LUCERNE RD SW |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-4534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285193 | Au Health Imaging, LLC | Physiological Laboratory | 3722 Wheeler Rd, Augusta, GA 30909-6638 | 2020-01-31 |
| 1417458233 | Procare Ultrasound | Physiological Laboratory | 4500 Satellite Blvd Ste 2190, Duluth, GA 30096-8850 | 2018-02-27 |
| 1225537483 | Fairpricemd Inc | Physiological Laboratory | 6175 Hickory Flat Hwy Ste 110-411, Canton, GA 30115-7207 | 2018-02-02 |
| 1861925075 | Nomadx Inc. | Physiological Laboratory | 4 E Washington St, Ste B2-b4, Newnan, GA 30263-1933 | 2017-04-05 |
| 1912375148 | Zywie Inc | Physiological Laboratory | 12000 Findley Rd, Suite 360, Johns Creek, GA 30097-1412 | 2015-09-03 |
| 1518347673 | Arterial Health International LLC | Physiological Laboratory | 3340 Peachtree Road, Ste 1800, Atlanta, GA 30326 | 2015-06-04 |
| 1669888657 | Avilys, LLC | Physiological Laboratory | 2300 Northside Xing, Ste B, Macon, GA 31210-2254 | 2014-07-10 |
| 1700210655 | Neba Health, LLC | Physiological Laboratory | 699 Broad St, Suite 1000, Augusta, GA 30901-1400 | 2013-08-28 |
| 1689919979 | Vocal Imaging, Inc. | Physiological Laboratory | 3006 Butler Creek Rd Nw, Kennesaw, GA 30152-3328 | 2012-11-28 |
| 1245506740 | Jd Sleep Diagnostics LLC | Physiological Laboratory | 1300 North Thornton Ave, Suite B, Dalton, GA 30720-3603 | 2012-03-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HONG HUONG THI PHAM.
| 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.