MEDICARE: SWIFT DIAGNOSTICS CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	305S00000X	Point of Service
2	253Z00000X	In Home Supportive Care Agency
3	261QM2500X	Medical Specialty Clinic/Center
4	261QM1300X	Multi-Specialty Clinic/Center
5	343900000X	Non-emergency Medical Transport (VAN)
6	261QG0250X	Genetics Clinic/Center
7	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1255157186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWIFT DIAGNOSTICS CENTER LLC

Provider Business Mailing Address
First Line	:	PO BOX 801403
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-1217
Country	:	US
Telephone Number	:	888-993-8245
Fax Number	:	888-993-8245

Provider Business Practice Location Address
First Line	:	2487 CEDARCREST RD STE 222D
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-2729
Country	:	US
Telephone Number	:	470-953-7381
Fax Number	:	888-993-8245

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MISS AMANDA BROWN
Credential	:
Telephone Number	:	470-953-7381

Provider Enumeration Date	:	11/25/2024
Last Update Date	:	10/30/2025

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Directions to “SWIFT DIAGNOSTICS CENTER LLC ” Practice Location

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