DR. TAKKI MOMIN MD
NPI 1871212563
Pathology - Clinical Laboratory Director, Non-physician in Atlanta, GA

Active since August 25, 2022
3069 AMWILER RD STE 1, ATLANTA, GA 30360(404) 910-9116 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Takki Momin Md NPPES

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

DR. TAKKI MOMIN MD (NPI 1871212563) is an individual clinical laboratory director, non-physician in Atlanta, Georgia, licensed in Georgia (11D2261376) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1871212563
Entity TypeIndividualMale
Primary Taxonomy247ZC0005X
Provider Legal NameDR. TAKKI MOMINCredential: MD
Location Address3069 AMWILER RD STE 1Atlanta, GA 30360-2825
Mailing Address3069 Amwiler Rd Ste 1Atlanta, GA 30360-2825 · (404) 910-9116
Sole ProprietorNo
Enumeration DateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
NPI 1871212563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
License Licensed in GA · 11D2261376
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
3069 AMWILER RD STE 1, Atlanta, GA 30360

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 Takki Momin's NPI number?

The NPI number for Takki Momin is 1871212563. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Takki Momin located?

Takki Momin practices at 3069 Amwiler Rd Ste 1, Atlanta, GA 30360. The listed phone number is (404) 910-9116.

What is Takki Momin's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Takki Momin was last updated on August 25, 2022. 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.