Provider Demographics
NPI:1700662913
Name:PROMINENT LABS & TESTING, LLC.
Entity Type:Organization
Organization Name:PROMINENT LABS & TESTING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHLEBOTOMIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NRCPT
Authorized Official - Phone:470-747-1310
Mailing Address - Street 1:3340 PEACHTREE RD NE STE 1828
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1000
Mailing Address - Country:US
Mailing Address - Phone:470-747-1310
Mailing Address - Fax:404-591-5966
Practice Address - Street 1:3340 PEACHTREE RD NE STE 1828
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1000
Practice Address - Country:US
Practice Address - Phone:470-747-1310
Practice Address - Fax:404-591-5966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory