Healthcare Provider Details

I. General information

NPI: 1255157186
Provider Name (Legal Business Name): SWIFT DIAGNOSTICS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2487 CEDARCREST RD STE 222D
ACWORTH GA
30101-2729
US

IV. Provider business mailing address

PO BOX 801403
ACWORTH GA
30101-1217
US

V. Phone/Fax

Practice location:
  • Phone: 470-953-7381
  • Fax: 888-993-8245
Mailing address:
  • Phone: 888-993-8245
  • Fax: 888-993-8245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QG0250X
TaxonomyGenetics Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MISS AMANDA BROWN
Title or Position: OWNER/CEO
Credential:
Phone: 470-953-7381