NPI age
7 years
Enumerated 2018-11-15
● Active Type 2 · Organization
Med-Lake Laboratory, Llc
Med-Lake Laboratory, 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
Moss
Billing Manager
Last NPPES update
2023-03-03
Source: monthly bulk 2026-05
How this organization compares
Across 621 active clinical medical laboratory providers in Georgia.
NPI age
7 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-11Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
100 Industrial Park Rd Nw
Milledgeville, GA 310616602
Mailing address
100 Industrial Park Rd Nw
Milledgeville, GA 310616602
Authorized official
Jennifer Moss
Billing Manager
📞 4784144235
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003221539A |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 621 Clinical Medical Laboratory providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.