THE LONGSTREET CLINIC DEPT OF PATHOLOGY/INTERLAB
NPI 1003052416
Clinical Medical Laboratory in Gainesville, GA

Active since January 07, 2009
725 JESSE JEWELL PKWY SE, SUITE 260, GAINESVILLE, GA 30501(770) 535-0079(770) 297-6610 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Longstreet Clinic Dept Of Pathology/interlab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE LONGSTREET CLINIC DEPT OF PATHOLOGY/INTERLAB (NPI 1003052416) is a healthcare organization registered as a clinical medical laboratory in Gainesville, Georgia and active in the NPI registry since January 2009. The organization lists Amelia L. Collins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003052416
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTHE LONGSTREET CLINIC, PC
Location Address725 JESSE JEWELL PKWY SE, SUITE 260Gainesville, GA 30501-3834
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 535-7445
Fax(770) 297-6610
Organization SubpartYes
Authorized OfficialAmelia L. CollinsCeo · (770) 718-1122
Enumeration DateJanuary 7, 2009
NPI 1003052416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in GA · 069-004
Definition

(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 body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

725 JESSE JEWELL PKWY SE, Gainesville, GA 30501

Other Names 1

Doing Business AsThe Longstreet Clinic Dept Of Pathology/interlab

Other Identifiers 2

Medicare PIN69WBDGNGA
Medicaid000679764AGA

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories The Longstreet Clinic P C carries, from the Medicare DMEPOS supplier directory.

The Longstreet Clinic P C

DMEPOS supplier · Gainesville, GA

Accepts Medicare assignment

The Longstreet Clinic P C agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20619593
Medicare Participant SinceJanuary 1, 2001
Supplier Location725 Jesse Jewell Pkwy SEGainesville, GA 30501
Provider TypeMulti-Specialty - Physician
Supplier Specialties
Pharmacy

Medicare Product Categories

Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Surgery
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Obstetrics & Gynecology
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Pediatrics
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Obstetrics & Gynecology
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Obstetrics & Gynecology (Gynecology)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Obstetrics & Gynecology
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Longstreet Clinic, PC's NPI number?

The NPI number for The Longstreet Clinic, PC is 1003052416. It was assigned to this organization in the NPPES registry on January 7, 2009. The provider is doing business as The Longstreet Clinic Dept Of Pathology/Interlab.

Where is The Longstreet Clinic, PC located?

The Longstreet Clinic, PC is located at 725 Jesse Jewell Pkwy SE Suite 260, Gainesville, GA 30501. The listed phone number is (770) 535-0079.

What is The Longstreet Clinic, PC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does The Longstreet Clinic, PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, The Longstreet Clinic P C accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for The Longstreet Clinic, PC was last updated on January 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.