Healthcare Provider Details

I. General information

NPI: 1306774351
Provider Name (Legal Business Name): LEVEL UP TESTING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 WHARTON DR SW # S105
SOUTH FULTON GA
30336-2129
US

IV. Provider business mailing address

575 WHARTON DR SW # S105
SOUTH FULTON GA
30336-2129
US

V. Phone/Fax

Practice location:
  • Phone: 404-927-8554
  • Fax:
Mailing address:
  • Phone: 404-927-8554
  • 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: LETRICIA STEED
Title or Position: CLINICAL DIRECTOR
Credential: RN
Phone: 404-927-8554