Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Foundation Health Plan of Georgia Inc

Organization Clinical Medical Laboratory · NPI 1104089739

Kaiser Foundation Health Plan of Georgia Inc is a Clinical Medical Laboratory in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Crescent Center Pkwy
Tucker, GA 30084-7047
Phone: (770) 496-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 11D0259510 (GA)

Record details

NPI number1104089739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Farmer — Director Of Laboratory Services · (404) 309-9314
NPI enumeratedJuly 3, 2008
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address3495 Piedmont Rd Ne, Atlanta, GA 30305-1773

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