John C Greenwald in Blue Ridge - Clinical Medical Laboratory

John C Greenwald - NPI 1063449437

John C Greenwald is a Clinical Medical Laboratory in Blue Ridge, Georgia. John C Greenwald practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for John C Greenwald is 1063449437. The last update date is 2017-06-08.

John C Greenwald's current location address is 51 Overview Drive, Blue Ridge, Georgia. You can contact this provider via phone number 7069465227 and fax number 7069465228. The mailing address for John C Greenwald is 51 Overview Drive, Blue Ridge, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization John C Greenwald
Address 51 Overview Drive, Blue Ridge, Georgia
Phone Number 7069465227
Fax Number 7069465228
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Greenwald John
Credentials MT
Telephone Number 7069465227

NPI Number Detail

NPI Number 1063449437
Provider Enumeration Date 2006-06-28
Last Updated Date 2017-06-08

Provider Mailing Address Detail

Address 51 Overview Drive
City Blue Ridge
State Georgia (GA)
Post Code 305136648
Phone Number 7069465227
Fax Number 7069465228

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Licence No 055-002
Definition:
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000968459A GA --
11D1001949 GA CLIA
055-002 GA STATE LAB LICENSE

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FAQs about John C Greenwald

What is the unique identifier code issued to John C Greenwald by the Centers for Medicare & Medicaid Services (CMS)?

The John C Greenwald has been assigned the NPI (National Provider Identifier) 1063449437. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where John C Greenwald is geographically located?

The John C Greenwald is physically situated at the following location: 51 Overview Drive, Blue Ridge, GA, 305136648.

What is John C Greenwald's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John C Greenwald's specialized field of practice is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of specialization is 291U00000X.

On what date was the 1063449437 assigned to John C Greenwald?

The John C Greenwald was issued its 1063449437 on 2006-06-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to John C Greenwald, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John C Greenwald, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-06-08.

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