Organization · NPI-2

Nomadx INC.

Physiological Laboratory · Newnan, GA

NPI number1861925075
StatusActive
Last updated in NPPESApr 5, 2017

Details

NPI
1861925075
Entity type
Organization (NPI-2)
Legal business name
Nomadx INC.
Organization subpart
No
Enumeration date
Apr 5, 2017
Last updated
Apr 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory––Yes

Practice location

4 E Washington St
Ste B2-B4
Newnan, GA 30263-1933

Phone 404-826-9729

Mailing address

18 Vanderbilt Pointe Way
Newnan, GA 30265-2307

Phone 404-826-9729

Authorized official

Derek Lucchesi
Owner
4043725555

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 Physiological Laboratory providers in Newnan, GA