PREVENTIVE MEDICINE ANTI-AGING AND CHELATION THERAPY INC.
NPI 1114459096
Point of Service in Sandy Springs, GA
About Preventive Medicine Anti-aging And Chelation Therapy Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREVENTIVE MEDICINE ANTI-AGING AND CHELATION THERAPY INC. (NPI 1114459096) is a healthcare organization registered as a point of service in Sandy Springs, Georgia and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Robert Burkich, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 44D0933587
Preventive Medicine Anti-Aging And Chelation Therapy Inc · Ringgold, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANDY SPRINGS, GA 30342
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 Preventive Medicine Anti-Aging And Chelation Therapy Inc.'s NPI number?
The NPI number for Preventive Medicine Anti-Aging And Chelation Therapy Inc. is 1114459096. It was assigned to this organization in the NPPES registry on March 30, 2017.
Where is Preventive Medicine Anti-Aging And Chelation Therapy Inc. located?
Preventive Medicine Anti-Aging And Chelation Therapy Inc. is located at 171 Mount Paran Rd NE, Sandy Springs, GA 30342. The listed phone number is (706) 891-1200.
What is Preventive Medicine Anti-Aging And Chelation Therapy Inc.'s specialty?
The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.
Does Preventive Medicine Anti-Aging And Chelation Therapy Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0933587) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Preventive Medicine Anti-Aging And Chelation Therapy Inc. was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Preventive Medicine Anti-Aging And Chelation Therapy Inc. · NPI 1114459096
Point of Service organization in Sandy Springs, Georgia. Organization record, active in the CMS NPPES registry since March 30, 2017.
## Identity
- **NPI:** 1114459096 (Entity type: Organization)
- **Enumerated:** March 30, 2017
- **Primary specialty:** Point of Service · taxonomy 305S00000X
- **Organization subpart:** No
- **Authorized official:** Robert Burkich, DIRECTOR
## Practice location
- **Address:** 171 MOUNT PARAN RD NE, Sandy Springs, GA 30342-2211
- **Phone:** (706) 891-1200
## Record status
- **NPPES last updated:** March 30, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114459096) · Data from the CMS NPPES public registry.