Provider Demographics
NPI:1700610334
Name:PINNACLE SCREENING SOLUTIONS
Entity type:Organization
Organization Name:PINNACLE SCREENING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FOLASHADE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAJEMBOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-417-4724
Mailing Address - Street 1:409 ARROWHEAD BLVD STE A108
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1259
Mailing Address - Country:US
Mailing Address - Phone:678-632-2009
Mailing Address - Fax:888-892-6066
Practice Address - Street 1:409 ARROWHEAD BLVD STE A108
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1259
Practice Address - Country:US
Practice Address - Phone:678-632-2009
Practice Address - Fax:888-892-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service