Provider Demographics
NPI:1417134636
Name:L.T. EXAMS, INC
Entity Type:Organization
Organization Name:L.T. EXAMS, INC
Other - Org Name:MEDICEXAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-996-4724
Mailing Address - Street 1:804 COMMERCE BLVD
Mailing Address - Street 2:STE D
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-7198
Mailing Address - Country:US
Mailing Address - Phone:770-996-4724
Mailing Address - Fax:770-994-1900
Practice Address - Street 1:804 COMMERCE BLVD
Practice Address - Street 2:STE D
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-7198
Practice Address - Country:US
Practice Address - Phone:770-996-4724
Practice Address - Fax:770-994-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA07-23687291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory