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BLOOD DIAMOND MOBILE LABORATORY LLC
NPI 1184472441
Technician, Pathology - Phlebotomy in Conyers, GA

Active since May 10, 2024
1212 RIVER RUSH LN NE, CONYERS, GA 30012(770) 875-3947 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, May 10, 2024 (2 updates tracked since 2024).

About Blood Diamond Mobile Laboratory Llc NPPES

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

BLOOD DIAMOND MOBILE LABORATORY LLC (NPI 1184472441) is a healthcare organization registered as a phlebotomy in Conyers, Georgia and active in the NPI registry since May 2024. The organization lists Roxann A Dooling, Owner/ Phlebotomist, as its authorized official.

NPPES Registry Identity

NPI1184472441
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameBLOOD DIAMOND MOBILE LABORATORY LLC
Location Address1212 RIVER RUSH LN NEConyers, GA 30012-6613
Mailing Address889 Commerce Dr Sw Ste CConyers, GA 30094-6624 · (770) 762-6019 · Fax (770) 790-0050
Phone(770) 875-3947
Organization SubpartNo
Authorized OfficialRoxann A DoolingOwner/ Phlebotomist · (770) 875-3947
Enumeration DateMay 10, 2024
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1184472441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1212 RIVER RUSH LN NE, Conyers, GA 30012
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Other Names 1

Doing Business AsBlood Diamond Mobile Laboratory Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 11D2309462

Blood Diamond Mobile Laboratory LLC · Conyers, GA
Expired · Aug 14, 2026
CLIA Number11D2309462
Laboratory TypeIndependent
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorRoxann A. Dooling
Laboratory Phone(770) 762-6019
Laboratory LocationBlood Diamond Mobile Laboratory LLC889 Commerce Drive SW, Suite C, Conyers, GA 30094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Blood Diamond Mobile Laboratory LLC's NPI number?

The NPI number for Blood Diamond Mobile Laboratory LLC is 1184472441. It was assigned to this organization in the NPPES registry on May 10, 2024.

Where is Blood Diamond Mobile Laboratory LLC located?

Blood Diamond Mobile Laboratory LLC is located at 1212 River Rush Ln NE, Conyers, GA 30012. The listed phone number is (770) 875-3947.

What is Blood Diamond Mobile Laboratory LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Blood Diamond Mobile Laboratory LLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.