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PHOENIXLABORATORY SERVICES LLC
NPI 1053897181
Physiological Laboratory in Douglasville, GA

Active since July 11, 2018
6126 PRESTLEY MILL RD STE H, DOUGLASVILLE, GA 30134(678) 715-2993 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenixlaboratory Services Llc NPPES

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

PHOENIXLABORATORY SERVICES LLC (NPI 1053897181) is a healthcare organization registered as a physiological laboratory in Douglasville, Georgia and active in the NPI registry since July 2018. The organization lists Jason Arnez Davis, Principal, as its authorized official.

NPPES Registry Identity

NPI1053897181
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePHOENIXLABORATORY SERVICES LLC
Location Address6126 PRESTLEY MILL RD STE HDouglasville, GA 30134-5624
Mailing Address8345 Mossybrook LnDouglasville, GA 30135-8510 · (678) 984-6227
Phone(678) 715-2993
Organization SubpartNo
Authorized OfficialJason Arnez DavisPrincipal · (678) 485-2233
Enumeration DateJuly 11, 2018
✔ NPI 1053897181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
6126 PRESTLEY MILL RD STE H, Douglasville, GA 30134
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Other Providers at the Same Location NPPES

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

MS. VALENCIA R BURRUSS M.D.
Family Medicine
6126 PRESTLEY MILL RD STE H
DOUGLASVILLE, GA 30134
Douglas County (678) 715-2993

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 Phoenixlaboratory Services LLC's NPI number?

The NPI number for Phoenixlaboratory Services LLC is 1053897181. It was assigned to this organization in the NPPES registry on July 11, 2018.

Where is Phoenixlaboratory Services LLC located?

Phoenixlaboratory Services LLC is located at 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134. The listed phone number is (678) 715-2993.

What is Phoenixlaboratory Services LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Phoenixlaboratory Services LLC was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.