Healthcare Provider Details

I. General information

NPI: 1558095711
Provider Name (Legal Business Name): APEX SCREENING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 LENOX RD NE STE 750
ATLANTA GA
30326-1353
US

IV. Provider business mailing address

3355 LENOX RD NE STE 750
ATLANTA GA
30326-1353
US

V. Phone/Fax

Practice location:
  • Phone: 470-821-1340
  • Fax:
Mailing address:
  • Phone: 470-821-1340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MS. MARTINA MCCALL
Title or Position: CEO/OWNER
Credential:
Phone: 909-767-5452