RESET DIAGNOSTIC LLC
NPI 1679222327
Clinical Medical Laboratory in Conyers, GA

Active since March 21, 2022CLIA 11D2256681 · Waiver
1301 ROUND ROCK CT, CONYERS, GA 30012(215) 971-0610 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reset Diagnostic Llc NPPES

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

RESET DIAGNOSTIC LLC (NPI 1679222327) is a healthcare organization registered as a clinical medical laboratory in Conyers, Georgia and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Sheena C Ballard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679222327
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameRESET DIAGNOSTIC LLC
Location Address1301 ROUND ROCK CTConyers, GA 30012-6505
Mailing Address1301 Round Rock CtConyers, GA 30012-6505 · (215) 971-0610
Organization SubpartNo
Authorized OfficialSheena C BallardCeo · (215) 971-0610
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1679222327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1301 ROUND ROCK CT, Conyers, GA 30012

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 11D2256681

Reset Diagnostic LLC · Conyers, GA
Active · expires Mar 27, 2028
CLIA Number11D2256681
Laboratory TypeDiagnostic Testing Site
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorSheena C. Ballard
Laboratory Phone(215) 971-0610
Laboratory LocationReset Diagnostic LLC1301 Round Rock, Conyers, GA 30012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Home Health
1301 ROUND ROCK CT
CONYERS, GA 30012

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 Reset Diagnostic LLC's NPI number?

The NPI number for Reset Diagnostic LLC is 1679222327. It was assigned to this organization in the NPPES registry on March 21, 2022.

Where is Reset Diagnostic LLC located?

Reset Diagnostic LLC is located at 1301 Round Rock Ct, Conyers, GA 30012. The listed phone number is (215) 971-0610.

What is Reset Diagnostic LLC's specialty?

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

Does Reset Diagnostic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2256681) is associated with this NPI, valid through March 27, 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 Reset Diagnostic LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.