GEODE HEALTH IOP LLC
NPI 1609766427
Clinic/Center - Mental Health (Including Community Mental Health Center) in Suwanee, GA
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 11D2296769
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 01-04-2026
About GEODE HEALTH IOP LLC
This page provides the complete NPI Profile along with additional information for Geode Health Iop Llc, a provider established in Suwanee, Georgia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1609766427 assigned on July 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Brandy Marriner (Manager)
- NPI
- 1609766427 Verify this NPI
- Provider Name
- GEODE HEALTH IOP LLC
- Entity Type
- Organization
- Location Address
- 1325 SATELLITE BLVD NW BLDG 500 SUWANEE, GA 30024
- Location Phone
- (678) 263-3080
- Mailing Address
- 1325 SATELLITE BLVD NW BLDG 500 SUWANEE, GA 30024
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-03-2025
- Last Update Date
- 07-03-2025
- 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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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
- 11D2296769
- Facility Type
- Independent
- Certificate Effective Date
- January 05, 2024
- Certificate Expiration Date
- January 04, 2026
- Laboratory Director
- HOPE FETTLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Geode Health Iop 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 2 providers are registered at the same or a nearby location.
SUWANEE, GA 30024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609766427, enumerated as an "organization" on July 03, 2025.
The provider is located at 1325 SATELLITE BLVD NW BLDG 500 SUWANEE, GA 30024 and the phone number is (678) 263-3080.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
