NPI age
4 years
Enumerated 2021-09-16
● Active Type 2 · Organization
Subpart
Laboratory Doctors Network Llc
Laboratory Doctors Network 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
Walker
Director Of Laboratory Services
Last NPPES update
2021-10-25
Source: monthly bulk 2026-05
How this organization compares
Across 621 active clinical medical laboratory providers in Georgia.
NPI age
4 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-09Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
612 Main St Ste 102
Palmetto, GA 302681149
Mailing address
612 Main St Ste 102
Palmetto, GA 302681149
Authorized official
Ila Walker, MT
Director Of Laboratory Services
📞 4045512799
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 |
|---|---|---|
| 01 (GA) | 11D2184009 | CMS CLIA CERTIFICATE OF WAIVER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
LABORATORY DOCTORS NETWORK LLC
-
LABORATORY DOCTORS NETWORK LLC
Practice context
Single-site organization. Only one practice location on file.
Subpart of Ilamae Price Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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