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The Longstreet Clinic, Pc

Clinical Medical Laboratory·Gainesville, GA· NPI 1003052416 · Enumerated 2009 · 17 years on NPI
The Longstreet Clinic, Pc is 1 of 621 clinical medical laboratory organizations in Georgia.
NPI age
17 years
Enumerated 2009-01-07
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Collins
Ceo
Last NPPES update
2009-01-07
Source: monthly bulk 2026-05

How this organization compares

Across 621 active clinical medical laboratory providers in Georgia.

NPI age
17 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-01Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
725 Jesse Jewell Pkwy Se, Suite 260
Gainesville, GA 305013834
📞 7705350079fax 7702976610
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7707181122fax 7705357445

Authorized official

Amelia L. Collins
Ceo
📞 7707181122

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Laboratories › Clinical Medical Laboratory
  • Clinical Medical Laboratory Primary
    (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...
    GA license #069-004 taxonomy 291U00000X

Identifiers

TypeValueNotes
05 (GA) 000679764A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • The Longstreet Clinic Dept of Pathology/Interlab
    Type code 3 recorded 2009-01-07

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of The Longstreet Clinic, Pc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Clinical Medical Laboratory organizations in Georgia
→ Georgia hub
About this specialty
→ Specialty guide