Medilab Diagnostics LLC
Medilab Diagnostics LLC is a healthcare organization registered as Clinic/Center in Hiram, GA, holding Type 2 (organization) NPI 1972261436 since 2021. The authorized official on file is Kanisha Johnson, Owner/Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972261436 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Medilab Diagnostics LLC |
| Practice address | 6737 BILL CARRUTH PKWY APT 4311, Hiram, GA, 30141 |
| Phone | 7703708088 |
| Enumeration date | 2021-12-02 |
| Last updated in NPPES | 2022-02-22 |
Authorized official
| Name | Kanisha Johnson |
|---|---|
| Title | Owner/Administrator |
| Phone | 7703708088 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Medilab Diagnostics LLC NPI: 1972261436 Taxonomy: 261Q00000X (Clinic/Center) Address: 6737 BILL CARRUTH PKWY APT 4311, Hiram, GA, 30141
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528726080 | Kanisha Johnson | Individual | General Practice Registered Nurse | Hiram, GA |
Verify this record
Cross-check NPI 1972261436 against the authoritative CMS record: view Medilab Diagnostics LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Medilab Diagnostics LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-02-22.