Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ethereal Diagnostics & Services LLC

Health Service Clinic/Center in Valdosta, GA · enumerated 2024 · authorized official Porsha Robinson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629822259

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Ethereal Diagnostics & Services LLC

Practice address 100 N Patterson St Ste A, Valdosta, GA, 31601

Phone (877) 586-2971

Fax (866) 703-1440

Enumeration date Apr 11, 2024

Last updated in NPPES Apr 11, 2024

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Porsha Robinson

Title Ceo

Phone (877) 586-2971

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Ethereal Diagnostics & Services LLC?

Ethereal Diagnostics & Services LLC is registered in NPPES as a Health Service Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-11.