EASY GO MOBILE LAB SERVICE LLC
NPI 1538837349
Technician, Pathology - Phlebotomy in Conyers, GA
- Organization
- Technician, Pathology
- Phlebotomy
- CLIA Number: 11D2264060
- CLIA Cert. Type: Other - MOBILE LAB DRAW STATION
- CLIA Exp. Date: 07-10-2026
About EASY GO MOBILE LAB SERVICE LLC
This page provides the complete NPI Profile along with additional information for Easy Go Mobile Lab Service Llc, a provider established in Conyers, Georgia operating as a Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1538837349 assigned on September 2021. The practitioner's primary taxonomy code is 246RP1900X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Crystal Hardy Phlebotomy (Ceo/phlebotomist)
- NPI
- 1538837349 Verify this NPI
- Provider Name
- EASY GO MOBILE LAB SERVICE LLC
- Entity Type
- Organization
- Location Address
- 1775 PARKER RD SE CONYERS, GA 30094
- Location Phone
- (706) 438-4747
- Location Fax
- (706) 262-2824
- Mailing Address
- 145 WELLS ST LINCOLNTON, GA 30817
- Mailing Phone
- (706) 438-4747
- Mailing Fax
- (706) 262-2824
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2021
- Last Update Date
- 09-06-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician, Pathology Phlebotomy
- Taxonomy Code
- 246RP1900X
- Type
- Technologists, Technicians & Other Technical Service Providers
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2264060
- Facility Type
- Other - MOBILE LAB DRAW STATION
- Certificate Effective Date
- July 11, 2024
- Certificate Expiration Date
- July 10, 2026
- Laboratory Director
- CRYSTAL HARDY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Easy Go Mobile Lab Service Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
CONYERS, GA 30094
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538837349, enumerated as an "organization" on September 06, 2021.
The provider is located at 1775 PARKER RD SE CONYERS, GA 30094 and the phone number is (706) 438-4747.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.
