Provider Demographics
NPI:1639822083
Name:FOXX LABORATORIES AND SCREENING
Entity type:Organization
Organization Name:FOXX LABORATORIES AND SCREENING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARISMA
Authorized Official - Middle Name:SONYA
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-350-4396
Mailing Address - Street 1:3774 RIVER ROCK RD
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-3383
Mailing Address - Country:US
Mailing Address - Phone:470-350-4396
Mailing Address - Fax:
Practice Address - Street 1:2625 SANDY PLAINS RD STE 101
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4290
Practice Address - Country:US
Practice Address - Phone:470-487-2245
Practice Address - Fax:678-623-8880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory