Provider Demographics
NPI:1801386552
Name:ACCURATE AND TRANSPARENT LABORATORIES
Entity Type:Organization
Organization Name:ACCURATE AND TRANSPARENT LABORATORIES
Other - Org Name:CLARITY CLINICAL LABORATORY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCTURK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-242-4600
Mailing Address - Street 1:3312 N OAK STREET EXT BLDG B3
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31605-1066
Mailing Address - Country:US
Mailing Address - Phone:229-242-4600
Mailing Address - Fax:229-333-1999
Practice Address - Street 1:1860 MONTREAL RD
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5709
Practice Address - Country:US
Practice Address - Phone:404-626-2207
Practice Address - Fax:229-333-1999
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH GEORGIA TOXICOLOGY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA092-019291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003172227AMedicaid
FL018647700Medicaid
OH0231532Medicaid