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

West Georgia Diagnostic Testing LLC

Organization Clinical Medical Laboratory · NPI 1720792435

West Georgia Diagnostic Testing LLC is a Clinical Medical Laboratory in Villa Rica, Georgia. Registered with an NPI since 2023.

In the registry since
2023
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

112 Dalton Dr
Villa Rica, GA 30180-7340
Phone: (678) 777-1917
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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

Record details

NPI number1720792435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matrice Benson — President · (678) 777-1917
NPI enumeratedJanuary 9, 2023
Last updated in NPPESJanuary 9, 2023
Certification dateDecember 14, 2022
Mailing address112 Dalton Dr, Villa Rica, GA 30180-7340

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