PREFERRED LABS OF VIDALIA LLC
NPI 1114683489
Clinical Medical Laboratory in Vidalia, GA

Active since November 11, 2021
414 LUGENIA DR, VIDALIA, GA 30474(912) 386-7117 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Feb 23, 2022, Nov 11, 2021 (3 updates tracked since 2021).

About Preferred Labs Of Vidalia Llc NPPES

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

PREFERRED LABS OF VIDALIA LLC (NPI 1114683489) is a healthcare organization registered as a clinical medical laboratory in Vidalia, Georgia and active in the NPI registry since November 2021. The organization lists Amjad Khan Mohammed, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114683489
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePREFERRED LABS OF VIDALIA LLC
Location Address414 LUGENIA DRVidalia, GA 30474-7210
Mailing Address414 Lugenia DrVidalia, GA 30474-7210 · (912) 386-7117
Organization SubpartNo
Authorized OfficialAmjad Khan MohammedAuthorized Official · (912) 386-7117
Enumeration DateNovember 11, 2021
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1114683489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
414 LUGENIA DR, Vidalia, GA 30474

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled P9603
This service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.
8,235 services92 patients
Quantitative measurement of severe acute respiratory syndrome coronavirus 2 (covid-19] antibody 86413
This procedure measures the level of COVID-19 antibodies in your body. It involves taking a blood sample, which is then tested in a lab. The results can indicate if you've had a past infection. However, it doesn't confirm immunity or protection against future infection.
7,809 services7,717 patients
Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets 87631
This test identifies different respiratory viruses by examining their nucleic acid, the building blocks of their genetic material. It can detect multiple types or subtypes, specifically 3-5 targets. This helps in diagnosing your respiratory illness accurately.
7,793 services7,703 patients
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500
The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.
7,717 services7,616 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
7,713 services7,612 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
233 services195 patients

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
414 LUGENIA DR
VIDALIA, GA 30474
Nurse Practitioner (Psychiatric/Mental Health)
414 LUGENIA DR
VIDALIA, GA 30474
Nurse Practitioner (Family)
414 LUGENIA DR
VIDALIA, GA 30474
Pediatrics
414 LUGENIA DR
VIDALIA, GA 30474

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 Preferred Labs Of Vidalia LLC's NPI number?

The NPI number for Preferred Labs Of Vidalia LLC is 1114683489. It was assigned to this organization in the NPPES registry on November 11, 2021.

Where is Preferred Labs Of Vidalia LLC located?

Preferred Labs Of Vidalia LLC is located at 414 Lugenia Dr, Vidalia, GA 30474. The listed phone number is (912) 386-7117.

What is Preferred Labs Of Vidalia LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Preferred Labs Of Vidalia LLC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.