PROMED DIAGNOSTIC LLC
NPI 1720802549
Clinic/Center - Health Service in Pelham, GA
About Promed Diagnostic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROMED DIAGNOSTIC LLC (NPI 1720802549) is a healthcare organization registered as a health service in Pelham, Georgia and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Valeria Frazier, Lab Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 11D2312113
Promed Diagnostics LLC · Thomasville, GAFrequently 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 Promed Diagnostic LLC's NPI number?
The NPI number for Promed Diagnostic LLC is 1720802549. It was assigned to this organization in the NPPES registry on November 8, 2024.
Where is Promed Diagnostic LLC located?
Promed Diagnostic LLC is located at 2912 Old Pelham Rd, Pelham, GA 31779. The listed phone number is (615) 864-2997.
What is Promed Diagnostic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does Promed Diagnostic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2312113) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Promed Diagnostic LLC was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Promed Diagnostic Llc · NPI 1720802549
Health Service organization in Pelham, Georgia. Organization record, active in the CMS NPPES registry since November 8, 2024.
## Identity
- **NPI:** 1720802549 (Entity type: Organization)
- **Enumerated:** November 8, 2024
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Valeria Frazier, LAB DIRECTOR
## Practice location
- **Address:** 2912 OLD PELHAM RD, Pelham, GA 31779-5944
- **Phone:** (615) 864-2997
## Record status
- **NPPES last updated:** November 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720802549) · Data from the CMS NPPES public registry.