Provider Demographics
NPI:1255157186
Name:SWIFT DIAGNOSTICS CENTER
Entity type:Organization
Organization Name:SWIFT DIAGNOSTICS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-953-7381
Mailing Address - Street 1:PO BOX 801403
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-1217
Mailing Address - Country:US
Mailing Address - Phone:888-993-8245
Mailing Address - Fax:888-993-8245
Practice Address - Street 1:2487 CEDARCREST RD STE 222D
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-2729
Practice Address - Country:US
Practice Address - Phone:470-953-7381
Practice Address - Fax:888-993-8245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No253Z00000XAgenciesIn Home Supportive Care
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No305S00000XManaged Care OrganizationsPoint of Service
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)