=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689823494
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESEARCH THINK TANK, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2008
-----------------------------------------------------
Last Update Date | 09/17/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1384 BUFORD BUSINESS BLVD SUITE 800
-----------------------------------------------------
City | BUFORD
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30518-9206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-475-1185
-----------------------------------------------------
Fax | 770-475-6652
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1384 BUFORD BUSINESS BLVD SUITE 800
-----------------------------------------------------
City | BUFORD
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30518-9206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-475-1185
-----------------------------------------------------
Fax | 770-475-6652
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. ROBERT M LLOYD II
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 770-475-1185
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number | 11D1010238
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------