Individual provider · NPI-1
Nichelle Loud, MLS
Pathology, Clinical Laboratory Director, Non-physician · Albany, GA
NPI number1932864683
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1932864683
- Entity type
- Individual (NPI-1)
- Name
- Nichelle Loud
- Credential
- MLS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2021
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
235 W Roosevelt Ave Ste 410Albany, GA 31701-2639
Phone 229-302-8241
Mailing address
2800 Old Dawson Rd Ste 2Albany, GA 31707-1413
Phone 470-319-9540 · Fax 762-266-1030
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.