NPI Code Details Logo

NPI 1356289730

NPI 1356289730 : ATC LAB AND TRAINING LLC : HAMPTON, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1356289730
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ATC LAB AND TRAINING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/24/2026
-----------------------------------------------------
    Last Update Date     |    03/24/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1883 MCDONOUGH ROAD SUITE 200-B
-----------------------------------------------------
    City                 |    HAMPTON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30228
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-299-0033
-----------------------------------------------------
    Fax                  |    404-620-0525
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    668 TIPPERARY RD 
-----------------------------------------------------
    City                 |    HAMPTON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30228-2349
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-299-0033
-----------------------------------------------------
    Fax                  |    404-620-0525
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MONICA  CESAR 
-----------------------------------------------------
    Credential           |    MEDICAL ASSISTANT
-----------------------------------------------------
    Telephone            |    770-299-0033
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QH0100X
-----------------------------------------------------
    Taxonomy Name        |    Health Service Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.