Provider Demographics
NPI:1346769593
Name:GLOBAL DIAGNOSTIC LABS LLC
Entity Type:Organization
Organization Name:GLOBAL DIAGNOSTIC LABS LLC
Other - Org Name:GLOBAL7 DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-855-8336
Mailing Address - Street 1:4960 PEACHTREE INDUSTRIAL BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1580
Mailing Address - Country:US
Mailing Address - Phone:470-300-1191
Mailing Address - Fax:470-300-1192
Practice Address - Street 1:4960 PEACHTREE INDUSTRIAL BLVD STE 220
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1580
Practice Address - Country:US
Practice Address - Phone:470-300-1191
Practice Address - Fax:470-300-1192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
FLME119404207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical PathologyGroup - Multi-Specialty
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty