Healthcare Provider Details

I. General information

NPI: 1437063260
Provider Name (Legal Business Name): LAB GROUP ONE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 ROYAL BLVD S STE 170
ALPHARETTA GA
30022-4462
US

IV. Provider business mailing address

PO BOX 144
CUMMING GA
30028-0144
US

V. Phone/Fax

Practice location:
  • Phone: 770-678-7830
  • Fax: 888-779-6574
Mailing address:
  • Phone: 770-678-7830
  • Fax: 888-779-6574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID HAYRAPETYAN
Title or Position: CEO
Credential:
Phone: 770-678-7830