Healthcare Provider Details

I. General information

NPI: 1275438442
Provider Name (Legal Business Name): TLCARELABS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2341 LOVEJOY RD
LOVEJOY GA
30228-3536
US

IV. Provider business mailing address

2341 LOVEJOY RD
LOVEJOY GA
30228-3536
US

V. Phone/Fax

Practice location:
  • Phone: 404-540-5635
  • Fax:
Mailing address:
  • Phone: 404-540-5635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TARA REEVES
Title or Position: OWNER/AUTHORIZED MEMBER
Credential:
Phone: 404-540-5635