EMERGENT TESTING LAB LLC – Clinical Medical Laboratory, NPI 1255946869
Clinical Medical Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EMERGENT TESTING LAB LLC
13 CORPORATE BLVD NE STE 250
BROOKHAVEN, GA 303291901
Phone: (470) 467-0124
Type: Mailing
PO BOX 5518
ATHENS, GA 306045518
Phone:
Type: Mailing
2566 SHALLOWFORD RD NE
ATLANTA, GA 303451249
Phone: (404) 999-7978
Type: Location
2566 SHALLOWFORD RD STE 104
PMB 348
ATLANTA, GA 30345
Phone: (713) 819-6417
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (130 days ago).
Enrollment records
2
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210125000179 | O | Independent Clinical Laboratory | GA | 2026-01-31 |
| O20220816000256 | O | Independent Clinical Laboratory | SC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 1,116 | 331 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 462 | 358 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 423 | 183 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 408 | 316 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 382 | 268 | $0 |
Insurance plans in this area (ZIP 30329)
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