Organization · Type 2 NPI

Harbin Clinic, LLC

Clinical Medical Laboratory · Rome, GA

NPI number 1063698595 Active

Practice location

1825 Martha Berry Blvd NW
Rome, GA 30165-1625

Call (706) 295-5331 Map

Fax (706) 236-6423

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	057-007 (GA)

Clinical Medical Laboratory: (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1063698595
Entity type: Organization (Type 2)
Issued: Jan 15, 2008
Last updated: Feb 5, 2019
Status: Active
Subpart: Yes of Harbin Clinic, LLC

Other names

<unavail>
Harbin Clinic Laboratory · doing business as
Harbin Clinic Laboratory · doing business as

Authorized official

Kenneth F. Davis, MD
President
(762) 235-1000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063698595

Harbin Clinic, LLC's National Provider Identifier is 1063698595, issued on Jan 15, 2008. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Rome, GA. The record was last updated on Feb 5, 2019.