P Praxis·MD
● Active Type 2 · Organization

Idesta Medical Inc

Technician, Pathology·College Park, GA· NPI 1063185015 · Enumerated 2021 · 4 years on NPI
Idesta Medical Inc is 1 of 307 technician, pathology organizations in Georgia.
NPI age
4 years
Enumerated 2021-07-27
Primary specialty
Technician, Pathology
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ralph
Owner
Last NPPES update
2024-11-12
Source: monthly bulk 2026-05

How this organization compares

Across 307 active technician, pathology providers in Georgia.

NPI age
4 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 13% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
4827 Old National Hwy Unit 2032
College Park, GA 303376234
📞 2398957910fax 8669843729
Mailing address
4827 Old National Hwy Unit 2032
College Park, GA 303376234
📞 2398957910fax 8669843729

Authorized official

Idesta Ralph
Owner
📞 2398957910

Specialties

  • Technician, Pathology Primary
    Definition to come...
    taxonomy 246RP1900X
  • Clinic/Center
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    taxonomy 261Q00000X
  • Pathology
    A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility...
    taxonomy 207ZB0001X

Practice context

Single-site organization. Only one practice location on file.

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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.

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