NPI age
3 years
Enumerated 2023-02-22
● Active Type 2 · Organization
Glam Queen, Llc
Glam Queen, Llc is 1 of 621 clinical medical laboratory organizations in Georgia.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shields
Owner
Last NPPES update
2023-02-22
Source: monthly bulk 2026-05
How this organization compares
Across 621 active clinical medical laboratory providers in Georgia.
NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-02Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
13 Peach St
Butler, GA 310065338
Mailing address
13 Peach St
Butler, GA 310065338
Authorized official
Lena Agnes Shields
Owner
📞 4783913220
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Anika Blum Behavior Analyst NPI 1740861483
- Ieisha Freeman, LBA Behavior Analyst NPI 1518575299
Specialties
-
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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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