Provider Demographics
NPI:1386397669
Name:HD SCREENING AND LABORATORY
Entity type:Organization
Organization Name:HD SCREENING AND LABORATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:470-243-1357
Mailing Address - Street 1:675 THORNTON WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-2635
Mailing Address - Country:US
Mailing Address - Phone:470-243-1357
Mailing Address - Fax:470-866-4688
Practice Address - Street 1:675 THORNTON WAY
Practice Address - Street 2:SUITE A
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-2635
Practice Address - Country:US
Practice Address - Phone:470-243-1357
Practice Address - Fax:470-866-4688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory