MEDICARE: VERILABS LTD CO

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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1821928987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERILABS LTD CO

Provider Business Mailing Address
First Line	:	912 PINELAND AVE APT 39
Second Line	:
City	:	HINESVILLE
State	:	GA
Zip	:	31313-6000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 PINELAND AVE
Second Line	:
City	:	HINESVILLE
State	:	GA
Zip	:	31313-6002
Country	:	US
Telephone Number	:	912-347-6357
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALICIA JOHNSON
Credential	:	MD
Telephone Number	:	912-347-6357

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/27/2026

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