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MICROSURE LLC
NPI 1407736002
Specialist/Technologist, Pathology - Laboratory Management in Woodstock, GA

Active since September 04, 2025CLIA 11D2333897 · Certificate of Compliance
7851 HICKORY FLAT HWY STE 204, WOODSTOCK, GA 30188(256) 393-0340 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Microsure Llc NPPES

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

MICROSURE LLC (NPI 1407736002) is a healthcare organization registered as a laboratory management in Woodstock, Georgia and active in the NPI registry since September 2025. The organization holds a CLIA Certificate of Compliance certificate valid through November 12, 2027 and lists Jimmy Wayne Fortenberry, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1407736002
Entity TypeOrganization
Primary Taxonomy246QL0900X
Legal Business NameMICROSURE LLC
Location Address7851 HICKORY FLAT HWY STE 204Woodstock, GA 30188-2352
Mailing Address7851 Hickory Flat Hwy Ste 204Woodstock, GA 30188-2352 · (256) 393-0340
Phone(256) 393-0340
Organization SubpartNo
Authorized OfficialJimmy Wayne FortenberryManaging Member · (256) 393-0340
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1407736002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Laboratory ManagementTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QL0900X
7851 HICKORY FLAT HWY STE 204, Woodstock, GA 30188
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Compliance 11D2333897

Microsure LLC · Woodstock, GA
Active · expires Nov 12, 2027
CLIA Number11D2333897
Laboratory TypeIndependent
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorJoseph Hackel
Laboratory Phone(470) 389-6104
Laboratory LocationMicrosure LLC7851 Hickory Flat Highway, Suite 204, Woodstock, GA 30188
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

THE CENTER FOR LIFE ENHANCEMENT LLC
Chiropractor
7851 HICKORY FLAT HWY STE 204
WOODSTOCK, GA 30188
Cherokee County (201) 588-3840

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 Microsure LLC's NPI number?

The NPI number for Microsure LLC is 1407736002. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Microsure LLC located?

Microsure LLC is located at 7851 Hickory Flat Hwy Ste 204, Woodstock, GA 30188. The listed phone number is (256) 393-0340.

What is Microsure LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.

Does Microsure LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2333897) is associated with this NPI, valid through November 12, 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 Microsure LLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.