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

Phoenixlaboratory Services LLC

Organization Physiological Laboratory · NPI 1053897181

Phoenixlaboratory Services LLC is a Physiological Laboratory in Douglasville, Georgia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6126 Prestley Mill Rd Ste H
Douglasville, GA 30134-5624
Phone: (678) 715-2993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1053897181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Davis — Principal · (678) 485-2233
NPI enumeratedJuly 11, 2018
Last updated in NPPESJuly 11, 2018
Mailing address8345 Mossybrook Ln, Douglasville, GA 30135-8510