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MEDILAB DIAGNOSTICS LLC
NPI 1972261436
Clinic/Center in Hiram, GA

Active since December 02, 2021
6737 BILL CARRUTH PKWY APT 4311, HIRAM, GA 30141(770) 370-8088 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2022, Dec 2, 2021 (2 updates tracked since 2021).

About Medilab Diagnostics Llc NPPES

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

MEDILAB DIAGNOSTICS LLC (NPI 1972261436) is a healthcare organization registered as a clinic/center in Hiram, Georgia and active in the NPI registry since December 2021. The organization lists Kanisha Johnson, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1972261436
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMEDILAB DIAGNOSTICS LLC
Location Address6737 BILL CARRUTH PKWY APT 4311Hiram, GA 30141-3779
Mailing Address6737 Bill Carruth Pkwy Apt 4311Hiram, GA 30141-3779
Phone(770) 370-8088
Organization SubpartNo
Authorized OfficialKanisha JohnsonOwner/administrator · (770) 370-8088
Enumeration DateDecember 2, 2021
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1972261436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6737 BILL CARRUTH PKWY APT 4311, Hiram, GA 30141
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Other Providers at the Same Location NPPES

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

KANISHA JOHNSON BSN RN
Registered Nurse (General Practice)
6737 BILL CARRUTH PKWY APT 4311
HIRAM, GA 30141
Paulding County (770) 370-8088

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 Medilab Diagnostics LLC's NPI number?

The NPI number for Medilab Diagnostics LLC is 1972261436. It was assigned to this organization in the NPPES registry on December 2, 2021.

Where is Medilab Diagnostics LLC located?

Medilab Diagnostics LLC is located at 6737 Bill Carruth Pkwy Apt 4311, Hiram, GA 30141. The listed phone number is (770) 370-8088.

What is Medilab Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Medilab Diagnostics LLC was last updated on February 22, 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.