Healthcare Provider Details
I. General information
NPI: 1861304487
Provider Name (Legal Business Name): LORVEN DIAGSERV
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5304 HUNTER RIDGE LN
NORCROSS GA
30092-3759
US
IV. Provider business mailing address
2730 PEACHTREE INDUSTRIAL BLVD STE 105
DULUTH GA
30097-8627
US
V. Phone/Fax
- Phone: 470-797-6566
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAI
SAWANT
Title or Position: PRESIDENT
Credential:
Phone: 470-797-6566