WEST GEORGIA DIAGNOSTIC TESTING LLC
NPI 1720792435
Clinical Medical Laboratory in Villa Rica, GA

Active since January 09, 2023
112 DALTON DR, VILLA RICA, GA 30180(678) 777-1917 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Georgia Diagnostic Testing Llc NPPES

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

WEST GEORGIA DIAGNOSTIC TESTING LLC (NPI 1720792435) is a healthcare organization registered as a clinical medical laboratory in Villa Rica, Georgia and active in the NPI registry since January 2023. The organization lists Matrice Benson, President, as its authorized official.

NPPES Registry Identity

NPI1720792435
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWEST GEORGIA DIAGNOSTIC TESTING LLC
Location Address112 DALTON DRVilla Rica, GA 30180-7340
Mailing Address112 Dalton DrVilla Rica, GA 30180-7340 · (678) 777-1917
Organization SubpartNo
Authorized OfficialMatrice BensonPresident · (678) 777-1917
Enumeration DateJanuary 9, 2023
NPPES CertifiedDecember 14, 2022
NPI 1720792435 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.
112 DALTON DR, Villa Rica, GA 30180

Other Providers at the Same Location NPPES 3

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

Adult Companion
112 DALTON DR
VILLA RICA, GA 30180
Home Health
112 DALTON DR
VILLA RICA, GA 30180
In Home Supportive Care
112 DALTON DR
VILLA RICA, GA 30180

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 West Georgia Diagnostic Testing LLC's NPI number?

The NPI number for West Georgia Diagnostic Testing LLC is 1720792435. It was assigned to this organization in the NPPES registry on January 9, 2023.

Where is West Georgia Diagnostic Testing LLC located?

West Georgia Diagnostic Testing LLC is located at 112 Dalton Dr, Villa Rica, GA 30180. The listed phone number is (678) 777-1917.

What is West Georgia Diagnostic Testing LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for West Georgia Diagnostic Testing LLC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.