National Provider Identifier Database

PHOENIXLABORATORY SERVICES LLC
Physiological Laboratory, (Independent Physiological Lab)

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.


Contact Information

PHOENIXLABORATORY SERVICES LLC
6126 PRESTLEY MILL RD STE H
DOUGLASVILLE, GA30134-5624
Phone: 678-715-2993
Fax:
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for PHOENIXLABORATORY SERVICES LLC

NPI Number 1053897181
Legal business name
LBN
PHOENIXLABORATORY SERVICES LLC
Authorized official JASON DAVIS - (PRINCIPAL)
Entity Organization
Organization subpart No
Enumeration date 07/11/2018
Last updated 07/11/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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