Healthcare Provider Details

I. General information

NPI: 1376335380
Provider Name (Legal Business Name): LAB CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7173 COVINGTON HWY STE K17
LITHONIA GA
30058-7616
US

IV. Provider business mailing address

7173 COVINGTON HWY STE K17
LITHONIA GA
30058-7616
US

V. Phone/Fax

Practice location:
  • Phone: 678-235-4654
  • Fax:
Mailing address:
  • Phone: 678-235-4654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: NOLA SMITH
Title or Position: OWNER
Credential:
Phone: 678-719-5926