MARJORIE PETIT CCMA, HEALTHCARE MAN
NPI 1154120624
Pathology - Clinical Laboratory Director, Non-physician in Locust Grove, GA

NPI Status: Active since March 10, 2025

Contact Information

480 GROVE PARK DR
LOCUST GROVE, GA
ZIP 30248
Phone: (404) 834-9934

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  • Individual
  • Female
  • Pathology
  • Clinical Laboratory Director, Non-physic...

About MARJORIE PETIT

This page provides the complete NPI Profile along with additional information for Marjorie Petit, a provider established in Locust Grove, Georgia with a medical specialization in Pathology, focusing in clinical laboratory director, non-physician . The healthcare provider is registered in the NPI registry with number 1154120624 assigned on March 2025. The practitioner's primary taxonomy code is 247ZC0005X with license number 25024448 (GA). The provider is registered as an individual and her NPI record was last updated one year ago. Marjorie Petit operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI
1154120624
Provider Name
MARJORIE PETIT CCMA, HEALTHCARE MAN
Gender
Female
Entity Type
Individual
Location Address
480 GROVE PARK DR LOCUST GROVE, GA 30248
Location Phone
(404) 834-9934
Mailing Address
480 GROVE PARK DR LOCUST GROVE, GA 30248
Mailing Phone
(404) 834-9934
Is Sole Proprietor?
Yes
Enumeration Date
03-10-2025
Last Update Date
03-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Clinical Laboratory Director, Non-physician

Taxonomy Code
247ZC0005X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
25024448
License State
GA
Taxonomy Description
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154120624
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110422064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 2 + 2 + 0 + 6 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1154120624 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154120624, enumerated in the NPI registry as an "individual" on March 10, 2025

The provider is located at 480 Grove Park Dr Locust Grove, Ga 30248 and the phone number is (404) 834-9934

The provider's speciality is Pathology with taxonomy code 247ZC0005X with a focus in Clinical Laboratory Director, Non-physician

This NPI record was last updated on March 10, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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