MEDICARE: STRAIGHT TO U TESTING LABS LLC

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1619818804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRAIGHT TO U TESTING LABS LLC

Provider Business Mailing Address
First Line	:	5905 ATLANTA HWY STE 101
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-6025
Country	:	US
Telephone Number	:	888-386-6745
Fax Number	:

Provider Business Practice Location Address
First Line	:	5905 ATLANTA HWY
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-5768
Country	:	US
Telephone Number	:	888-386-6745
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	FASINA A ADEKANMBI
Credential	:	SPECIMEN COLLECTOR
Telephone Number	:	888-386-6745

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/09/2026

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