Healthcare Provider Details

I. General information

NPI: 1013440031
Provider Name (Legal Business Name): RMS HEALTHCHECK/KNOW YOUR LABS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 04/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7193 DOUGLAS BLVD SUITE 207
DOUGLASVILLE GA
30135
US

IV. Provider business mailing address

7193 DOUGLAS BLVD SUITE 207
DOUGLASVILLE GA
30135
US

V. Phone/Fax

Practice location:
  • Phone: 770-415-1232
  • Fax:
Mailing address:
  • Phone: 770-415-1232
  • 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: PAULA HOUSTON
Title or Position: OFFICE MANGER
Credential:
Phone: 770-415-1232