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NPI Code Detail

MEDICARE: SIMPLICITY HEALTHCARE DIAGNOSTICS & LABS

MEDICARE: SIMPLICITY HEALTHCARE DIAGNOSTICS & LABS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1265388557
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMPLICITY HEALTHCARE DIAGNOSTICS & LABS
Provider Business Mailing Address
First Line : P.O. BOX 92357
Second Line :
City : ATLANTA
State : GA
Zip : 30314
Country : US
Telephone Number : 678-814-9040
Fax Number : 770-216-1574
Provider Business Practice Location Address
First Line : 6741 CHURCH STREET #2
Second Line :
City : RIVERDALE
State : GA
Zip : 30274
Country : US
Telephone Number : 678-814-9040
Fax Number : 770-216-1574
Authorized Official
Title or Position : DIRECTOR
Name : VALERIE RACHEL
Credential :
Telephone Number : 678-814-9040
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “SIMPLICITY HEALTHCARE DIAGNOSTICS & LABS ” Practice Location

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