Organization · NPI-2
Greater Laboratory LLC
Technician, Pathology, Phlebotomy · Albany, GA
NPI number1295668267
StatusActive
Last updated in NPPESNov 4, 2026
Details
- NPI
- 1295668267
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Laboratory LLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2026
- Certification date
- Nov 4, 2026
- Last updated
- Nov 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
5425 Newton Rd Ste 4Albany, GA 31701-7405
Phone 229-310-9479 · Fax 229-518-2489
Mailing address
5425 Newton Rd Ste4Albany, GA 31701
Phone 229-310-9479 · Fax 229-518-2489
Authorized official
Shwana L Jay
Owner
2293109479
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