Healthcare Provider Details

I. General information

NPI: 1437816709
Provider Name (Legal Business Name): 818 DIAGNOSTIC SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 LEDO RD STE A
ALBANY GA
31707-1813
US

IV. Provider business mailing address

2800 OLD DAWSON ROAD SUITE2 #275
ALBANY GA
31707
US

V. Phone/Fax

Practice location:
  • Phone: 229-789-3229
  • Fax: 229-329-4231
Mailing address:
  • Phone: 229-302-8241
  • Fax: 762-266-1030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHELLE LOUD
Title or Position: OWNER
Credential:
Phone: 229-789-3229