Organization · NPI-2

The Play Lab LLC

Clinic/Center · Mableton, GA

NPI number1730043340
StatusActive
Last updated in NPPESDec 10, 2025

Details

NPI
1730043340
Entity type
Organization (NPI-2)
Legal business name
The Play Lab LLC
Organization subpart
No
Enumeration date
Dec 10, 2025
Certification date
Dec 9, 2025
Last updated
Dec 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

5815 Buckner Creek Dr
Mableton, GA 30126-7701

Phone 205-861-5599

Mailing address

5815 Buckner Creek Dr
Mableton, GA 30126-7701

Authorized official

Nishi Desai
Owner/Manager
2058615599

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Mableton, GA