MEDICARE: LABDASHERS,LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1427980572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABDASHERS,LLC

Provider Business Mailing Address
First Line	:	14 LAKE SYDNEY DR
Second Line	:
City	:	DAWSONVILLE
State	:	GA
Zip	:	30534-7185
Country	:	US
Telephone Number	:	678-361-9642
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 LAKE SYDNEY DR
Second Line	:
City	:	DAWSONVILLE
State	:	GA
Zip	:	30534-7185
Country	:	US
Telephone Number	:	678-361-9642
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAUNA LURETTE PATTON-MARIS
Credential	:
Telephone Number	:	678-361-9642

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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