BLESSED HANDS MOBILE LAB
NPI 1417608522
Technician, Pathology - Medical Laboratory in Fayetteville, GA

Q: What is Blessed Hands Mobile Lab's NPI number?

The NPI number for Blessed Hands Mobile Lab is 1417608522. It was assigned to this organization in the NPPES registry on January 11, 2022.

Q: What is Blessed Hands Mobile Lab's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Medical Laboratory, with taxonomy code 246RM2200X.

Active since January 11, 2022CLIA 11D2240968 · Waiver

320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214(678) 696-7896 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2022, Jan 11, 2022 (2 updates tracked since 2022).

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About Blessed Hands Mobile Lab NPPES

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

BLESSED HANDS MOBILE LAB (NPI 1417608522) is a healthcare organization registered as a medical laboratory in Fayetteville, Georgia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Shirley Solomon, Admin, as its authorized official.

NPPES Registry Identity

NPI1417608522

Entity TypeOrganization

Primary Taxonomy246RM2200X

Legal Business NameBLESSED HANDS MOBILE LAB

Location Address320 LANIER AVE W STE 200Fayetteville, GA 30214-7443

Mailing Address106 Meadow Creek CtHampton, GA 30228-5553 · (678) 696-7896

Phone(678) 696-7896

Organization SubpartNo

Authorized OfficialShirley SolomonAdmin · (678) 651-3395

Enumeration DateJanuary 11, 2022

Last NPPES UpdateFebruary 21, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2022

✔ NPI 1417608522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · Medical LaboratoryTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246RM2200X

320 LANIER AVE W STE 200, Fayetteville, GA 30214

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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 Waiver 11D2240968

Blessed Hands Mobile Lab · Fayetteville, GA

Active · expires Oct 24, 2027

CLIA Number11D2240968

Laboratory TypeMobile Laboratory

Certificate Effective DateOctober 25, 2025

Certificate Expiration DateOctober 24, 2027

Laboratory DirectorShirley J. Solomon

Laboratory Phone(678) 696-7896

Laboratory LocationBlessed Hands Mobile Lab320 W Lanier Avenue Suite 200, Fayetteville, GA 30214

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

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