Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAN JOSE SUPPLIES
NPI 1881513679
Clinical Medical Laboratory in Forest Park, GA

Active since July 14, 2026
4609 ERNEST DR, FOREST PARK, GA 30297(713) 755-6565 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Jose Supplies NPPES

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

SAN JOSE SUPPLIES (NPI 1881513679) is a healthcare organization registered as a clinical medical laboratory in Forest Park, Georgia and active in the NPI registry since July 2026. The organization lists Nancy Knight, Manager, as its authorized official.

NPPES Registry Identity

NPI1881513679
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSAN JOSE SUPPLIES
Location Address4609 ERNEST DRForest Park, GA 30297-3573
Mailing Address4609 Ernest DrForest Park, GA 30297-3573 · (713) 755-6565
Organization SubpartNo
Authorized OfficialNancy KnightManager · (713) 755-6565
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
NPI 1881513679 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.
4609 ERNEST DR, Forest Park, GA 30297

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.

Clinical Medical Laboratory
4609 ERNEST DR
FOREST PARK, GA 30297
Clinical Medical Laboratory
4609 ERNEST DR
FOREST PARK, GA 30297
Clinical Medical Laboratory
4609 ERNEST DR
FOREST PARK, GA 30297

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 San Jose Supplies's NPI number?

The NPI number for San Jose Supplies is 1881513679. It was assigned to this organization in the NPPES registry on July 14, 2026.

Where is San Jose Supplies located?

San Jose Supplies is located at 4609 Ernest Dr, Forest Park, GA 30297. The listed phone number is (713) 755-6565.

What is San Jose Supplies'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 San Jose Supplies was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.