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1699621276 NPI number — FIRST CHOICE SCREENING

NPI Number: 1699621276
Health Care Provider/Practitioner: FIRST CHOICE SCREENING

Information about “1699621276” NPI (FIRST CHOICE SCREENING) exists in 1699621276 in HTML format HTML  |  1699621276 in plain Text format TXT  |  1699621276 in PDF (Portable Document Format) PDF  |  1699621276 in an XML format XML  formats.

NPI Number : 1699621276 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699621276",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FIRST CHOICE SCREENING",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "691 S 8TH ST STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRIFFIN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30224-4244",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-828-8161",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "691 S 8TH ST STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRIFFIN",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30224-4244",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-828-8161",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2026",
    "LastUpdateDate": "03/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ENAGBARE",
    "AuthorizedOfficialFirstName": "SHERLONDA",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "OWNER/DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "N/A",
    "AuthorizedOfficialTelephoneNumber": "770-828-8161",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BD1200X",
          "TaxonomyName": "Dialysis Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246RP1900X",
          "TaxonomyName": "Phlebotomy Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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