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

Southern Clinical Laboratory Inc

Organization Clinical Medical Laboratory · NPI 1396751103

Southern Clinical Laboratory Inc is a Clinical Medical Laboratory in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

405 W Pike St Suiet A
Lawrenceville, GA 30046-4845
Phone: (770) 513-4140
Fax: (770) 682-9529
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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 067-025 (GA)

Record details

NPI number1396751103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ravinder Reddy — President · (770) 513-4140
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 6, 2011
Mailing address405 W Pike St, Suiet A, Lawrenceville, GA 30046-4845

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