Healthcare Provider Details

I. General information

NPI: 1477489003
Provider Name (Legal Business Name): MERIDIAN CLINICAL LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 WINDY HILL RD SE STE 300
MARIETTA GA
30067-8621
US

IV. Provider business mailing address

715 TWINING RD STE 113
DRESHER PA
19025-1832
US

V. Phone/Fax

Practice location:
  • Phone: 470-456-2849
  • 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 StateNULL

VIII. Authorized Official

Name: RACHEL CHEUNG
Title or Position: OWNER
Credential:
Phone: 470-456-2849