MED-LAKE LABORATORY, LLC
NPI 1174092548
Clinical Medical Laboratory in Milledgeville, GA

Active since November 15, 2018CLIA 11D2162372 · Accreditation
100 INDUSTRIAL PARK RD NW, MILLEDGEVILLE, GA 31061(478) 454-6696 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2023, Nov 15, 2018 (2 updates tracked since 2018).

About Med-lake Laboratory, Llc NPPES

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

MED-LAKE LABORATORY, LLC (NPI 1174092548) is a healthcare organization registered as a clinical medical laboratory in Milledgeville, Georgia and active in the NPI registry since November 2018. The organization holds an CLIA Accreditation certificate valid through June 29, 2027 and lists Jennifer Moss, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1174092548
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMED-LAKE LABORATORY, LLC
Location Address100 INDUSTRIAL PARK RD NWMilledgeville, GA 31061-6602
Mailing Address100 Industrial Park Rd NwMilledgeville, GA 31061-6602 · (478) 454-6696
Organization SubpartNo
Authorized OfficialJennifer MossBilling Manager · (478) 414-4235
Enumeration DateNovember 15, 2018
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
NPI 1174092548 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.
100 INDUSTRIAL PARK RD NW, Milledgeville, GA 31061

Other Identifiers 1

Medicaid003221539AGA

Accepted Insurance

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 Accreditation 11D2162372

Med-Lake Laboratories · Milledgeville, GA
Active · expires Jun 29, 2027
CLIA Number11D2162372
Laboratory TypeIndependent
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorDr. Alvin B. Bryan Jr
Laboratory Phone(478) 414-4235
Laboratory LocationMed-Lake Laboratories100 Industrial Park Drive, Milledgeville, GA 31061
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 100

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
8,133 services4,889 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
6,878 services3,897 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
5,245 services3,020 patients
Red blood cell concentration measurement 85014
Red blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.
5,229 services3,015 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
5,172 services3,059 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
4,025 services2,764 patients

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 Med-Lake Laboratory, LLC's NPI number?

The NPI number for Med-Lake Laboratory, LLC is 1174092548. It was assigned to this organization in the NPPES registry on November 15, 2018.

Where is Med-Lake Laboratory, LLC located?

Med-Lake Laboratory, LLC is located at 100 Industrial Park Rd NW, Milledgeville, GA 31061. The listed phone number is (478) 454-6696.

What is Med-Lake Laboratory, LLC's specialty?

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

Does Med-Lake Laboratory, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D2162372) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Med-Lake Laboratory, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Med-Lake Laboratory, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Med-Lake Laboratory, LLC was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.