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NPI 1780388611ActiveOrganization· Physiological Laboratory· Atlanta, GA
Physiological Laboratory in Atlanta, Georgia, registered in NPPES in March 2023. The authorized official on file is Sophia Bracey, Ceo.
Overview
| NPI | 1780388611 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2023 |
| Last updated in NPPES | Jul 14, 2024 |
| Certified by provider | Jul 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Nursing Care | 251J00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
| Clinical Medical Laboratory | 291U00000X | — | — |
| Point of Service | 305S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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