Organization
BRENDA LABORATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL PADGETT (OWNER/DRUG SCREENING COLLECTOR)
(678) 600-5608
Entity
Organization
Contact information
Practice address
701 MOUNT ZION RD, JONESBORO, GA 30236-1533
(678) 600-5608
Mailing address
6525 TARA BLVD STE F9, JONESBORO, GA 30236-1227
(678) 600-5608
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261Q00000X
Clinic/Center
—
—
261QA0006X
Ambulatory Fertility Facility
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
310400000X
Assisted Living Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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