Provider Demographics
NPI:1265130322
Name:COBY LABORATORIES & SCREENING, LLC
Entity type:Organization
Organization Name:COBY LABORATORIES & SCREENING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON-HAMIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-691-2629
Mailing Address - Street 1:4500 HUGH HOWELL RD STE 430
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4722
Mailing Address - Country:US
Mailing Address - Phone:877-691-2629
Mailing Address - Fax:866-807-1719
Practice Address - Street 1:4500 HUGH HOWELL RD STE 430
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4722
Practice Address - Country:US
Practice Address - Phone:877-691-2629
Practice Address - Fax:866-807-1719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Single Specialty