Healthcare Provider Details

I. General information

NPI: 1174253728
Provider Name (Legal Business Name): ZIPPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 LINCOLN CREST DR
AUSTELL GA
30106-8238
US

IV. Provider business mailing address

1416 LINCOLN CREST DR
AUSTELL GA
30106-8238
US

V. Phone/Fax

Practice location:
  • Phone: 470-663-3450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANTHONY LEE
Title or Position: DIRECTOR
Credential:
Phone: 470-663-3450