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Contact Information

SOUTHEAST DIAGNOSTICS LABORATORIES, LLC.
3240 POINTE PARKWAY NW
SUITE 200
NORCROSS, GA30092
 Phone: 470-300-1191
 Fax: 470-300-1192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for SOUTHEAST DIAGNOSTICS LABORATORIES, LLC.

NPI Number 1346769593
LBN Legal business name SOUTHEAST DIAGNOSTICS LABORATORIES, LLC.
Authorized official LILIANA MONTES - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2017
Last updated 03/18/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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