Healthcare Provider Details

I. General information

NPI: 1518935337
Provider Name (Legal Business Name): HMP DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 CLEVELAND RD SUITE B
BOGART GA
30622-6821
US

IV. Provider business mailing address

PO BOX 49769
ATHENS GA
30604-0769
US

V. Phone/Fax

Practice location:
  • Phone: 706-546-7430
  • Fax: 706-546-7434
Mailing address:
  • Phone: 706-546-7430
  • Fax: 706-546-7434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC PARKHILL
Title or Position: VICE-PRESIDENT
Credential: RRT
Phone: 706-546-7430