BEVEL UP LABS
NPI 1073274288
Clinic/Center - Health Service in Roswell, GA

Active since January 10, 2022CLIA 11D2248491 · Waiver
770 OLD ROSWELL PL STE I500, ROSWELL, GA 30076(470) 294-1760 Get Directions Write a Review

NPPES record last updated: February 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2022, Jan 10, 2022 (2 updates tracked since 2022).

About Bevel Up Labs NPPES

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

BEVEL UP LABS (NPI 1073274288) is a healthcare organization registered as a health service in Roswell, Georgia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Angela Grant, Owner, as its authorized official.

NPPES Registry Identity

NPI1073274288
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBEVEL UP LABS
Location Address770 OLD ROSWELL PL STE I500Roswell, GA 30076-8654
Mailing AddressPo Box 673362Marietta, GA 30006-0057
Organization SubpartYesParent: Grant Girl, Inc
Authorized OfficialAngela GrantOwner · (678) 699-6978
Enumeration DateJanuary 10, 2022
Last NPPES UpdateFebruary 20, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2022
NPI 1073274288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
770 OLD ROSWELL PL STE I500, Roswell, GA 30076

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2248491

Grant Girl, Inc Dba Bevel Up Labs · Roswell, GA
Active · expires Jan 12, 2028
CLIA Number11D2248491
Laboratory TypeDiagnostic Test Facility
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorAvion L. Bailey
Laboratory Phone(678) 699-6978
Laboratory LocationGrant Girl, Inc Dba Bevel Up Labs770 Old Roswell Pl, Suite I-500, Roswell, GA 30076
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Primary Care)
770 OLD ROSWELL PL STE I500
ROSWELL, GA 30076
Clinic/Center
770 OLD ROSWELL PL STE I500
ROSWELL, GA 30076

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 Bevel Up Labs's NPI number?

The NPI number for Bevel Up Labs is 1073274288. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Bevel Up Labs located?

Bevel Up Labs is located at 770 Old Roswell Pl Ste I500, Roswell, GA 30076. The listed phone number is (470) 294-1760.

What is Bevel Up Labs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Bevel Up Labs hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2248491) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bevel Up Labs was last updated on February 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.