Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEGEND MOBILE NOTARY SERVICES, LLC D/B/A LEGEND SCREENING & DIAGNOSTICS SERVICES
NPI 1396662979
Clinical Medical Laboratory in Mcdonough, GA

Active since July 02, 2026CLIA 11D2349032 · Waiver
1700 PENNSYLVANIA AVE STE 103, MCDONOUGH, GA 30253(470) 399-1217(470) 993-1211 Get Directions Write a Review

NPPES record added: September 7, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 7, 2026, Aug 17, 2026, Jul 14, 2026 (3 updates tracked since 2026).

About Legend Mobile Notary Services, Llc D/b/a Legend Screening & Diagnostics Services NPPES

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

LEGEND MOBILE NOTARY SERVICES, LLC D/B/A LEGEND SCREENING & DIAGNOSTICS SERVICES (NPI 1396662979) is a healthcare organization registered as a clinical medical laboratory in Mcdonough, Georgia and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through August 13, 2028 and lists Audrey Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1396662979
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLEGEND MOBILE NOTARY SERVICES, LLC D/B/A LEGEND SCREENING & DIAGNOSTICS SERVICES
Location Address1700 PENNSYLVANIA AVE STE 103Mcdonough, GA 30253-9128
Mailing Address1700 Pennsylvania Ave Ste 103Mcdonough, GA 30253-9128 · (470) 399-1217 · Fax (470) 993-1211
Fax(470) 993-1211
Organization SubpartNo
Authorized OfficialAudrey MooreOwner · (470) 399-1217
Enumeration DateJuly 2, 2026
Last NPPES UpdateSeptember 7, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2026
NPI 1396662979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1700 PENNSYLVANIA AVE STE 103, Mcdonough, GA 30253

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 11D2349032

Legend Mobile Notary Service, LLC Dba Legend Screening & Diagnostics Services · Mcdonough, GA
Active · expires Aug 13, 2028
CLIA Number11D2349032
Laboratory TypeIndependent
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorAudrey Moore
Laboratory Phone(470) 399-1217
Laboratory LocationLegend Mobile Notary Service, LLC Dba Legend Screening & Diagnostics Services1700 Pennsylvania Avenue, Suite 103, Mcdonough, GA 30253
CLIA data matches this NPI record on: Address 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 Legend Mobile Notary Services, LLC D/B/A Legend Screening & Diagnostics Services's NPI number?

The NPI number for Legend Mobile Notary Services, LLC D/B/A Legend Screening & Diagnostics Services is 1396662979. It was assigned to this organization in the NPPES registry on July 2, 2026.

Where is Legend Mobile Notary Services, LLC D/B/A Legend Screening & Diagnostics Services located?

Legend Mobile Notary Services, LLC D/B/A Legend Screening & Diagnostics Services is located at 1700 Pennsylvania Ave Ste 103, Mcdonough, GA 30253. The listed phone number is (470) 399-1217.

What is Legend Mobile Notary Services, LLC D/B/A Legend Screening & Diagnostics Services's specialty?

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

Does Legend Mobile Notary Services, LLC D/B/A Legend Screening & Diagnostics Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2349032) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Legend Mobile Notary Services, LLC D/B/A Legend Screening & Diagnostics Services was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.