BRENDA LABORATORY SERVICES – NPI #1366260986
Clinic/Center

BRENDA LABORATORY SERVICES is an AHC clinic located in JONESBORO, GA. NPPES has assigned the NPI number 1366260986 to BRENDA LABORATORY SERVICES on October 02, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP0905X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Public Health, State or Local Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRENDA LABORATORY SERVICES below.

NPI Profile for
BRENDA LABORATORY SERVICES

NPI Number
1366260986
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRENDA LABORATORY SERVICES
Primary location
701 MOUNT ZION RD
JONESBORO, GA 30236-1533
Phone: (678) 600-5608 Fax:
Mailing address
6525 TARA BLVD STE F9
JONESBORO, GA 30236-1227
Phone: (678) 600-5608 Fax:
Organization Subpart
No
Authorized Official
SHANTEL PADGETT
OWNER/DRUG SCREENING COLLECTOR
Phone: (678) 600-5608
Updated
Certification Date
Oct 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP0905X
- Clinic/Center / Public Health, State or Local (Primary)
347C00000X
- Private Vehicle
310400000X
- Assisted Living Facility
261QG0250X
- Clinic/Center / Genetics
261QE0002X
- Clinic/Center / Emergency Care
261QC1500X
- Clinic/Center / Community Health
261QB0400X
- Clinic/Center / Birthing
261QA0006X
- Clinic/Center / Ambulatory Fertility Facility
261Q00000X
- Clinic/Center
251K00000X
- Public Health or Welfare
251J00000X
- Nursing Care
251E00000X
- Home Health
251C00000X
- Day Training, Developmentally Disabled Services

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.