PREMIUM SECURITY PORTAMEDIC
NPI 1295661049
Clinical Medical Laboratory in Alpharetta, GA

Active since June 19, 2026CLIA 11D2283283 · Waiver
3480 PRESTON RIDGE RD STE 578, ALPHARETTA, GA 30005(470) 628-1069 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Premium Security Portamedic NPPES

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

PREMIUM SECURITY PORTAMEDIC (NPI 1295661049) is a healthcare organization registered as a clinical medical laboratory in Alpharetta, Georgia and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Patrice Neale, Owner, as its authorized official.

NPPES Registry Identity

NPI1295661049
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePREMIUM SECURITY PORTAMEDIC
Location Address3480 PRESTON RIDGE RD STE 578Alpharetta, GA 30005-2028
Mailing Address793 Lobdale Falls DrLawrenceville, GA 30045-2217 · (229) 603-8563
Organization SubpartNo
Authorized OfficialPatrice NealeOwner · (229) 603-8563
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1295661049 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.
3480 PRESTON RIDGE RD STE 578, Alpharetta, GA 30005

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 11D2283283

Premium Security Portamedic LLC · Alpharetta, GA
Active · expires Jun 5, 2027
CLIA Number11D2283283
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorPatrice Neale
Laboratory Phone(470) 628-1069
Laboratory LocationPremium Security Portamedic LLC3480 Preston Ridge Road, St578, Alpharetta, GA 30005
CLIA data matches this NPI record on: 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 Premium Security Portamedic's NPI number?

The NPI number for Premium Security Portamedic is 1295661049. It was assigned to this organization in the NPPES registry on June 19, 2026.

Where is Premium Security Portamedic located?

Premium Security Portamedic is located at 3480 Preston Ridge Rd Ste 578, Alpharetta, GA 30005. The listed phone number is (470) 628-1069.

What is Premium Security Portamedic's specialty?

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

Does Premium Security Portamedic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2283283) is associated with this NPI, valid through June 5, 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 Premium Security Portamedic was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.