Med-Lake Laboratory, LLC
NPI 1174092548 · Clinical Medical Laboratory · Milledgeville, GA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Med-Lake Laboratory, LLC is a Clinical Medical Laboratory organization in Milledgeville, GA (NPI 1174092548).
Provider details
- NPI number
- 1174092548
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jennifer Moss, Billing Manager(478) 414-4235
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
69,878 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 8,133 | $60 |
| Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able to Identify Individual Drugs and Distinguish Between Structural Isomers (but Not Necessarily Stereoisomers), Including, But Not Limited to Gc/Ms (any Type, Single Or Tandem) and Lc/MsG0481 | 6,878 | $152 |
| Blood Count, Hemoglobin85018 | 5,245 | $2 |
| Red Blood Cell Concentration Measurement85014 | 5,229 | $2 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 5,172 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 4,025 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-15
- Last updated
- 2023-03-03
- Certified
- 2023-03-03
Frequently asked questions
- What is Med-Lake Laboratory, LLC's NPI number?
- Med-Lake Laboratory, LLC's National Provider Identifier (NPI) is 1174092548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Med-Lake Laboratory, LLC?
- Med-Lake Laboratory, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Med-Lake Laboratory, LLC located?
- Med-Lake Laboratory, LLC's practice location on file with NPPES is 100 Industrial Park Rd Nw, Milledgeville, GA 31061-6602.
- What is Med-Lake Laboratory, LLC's phone number?
- The practice phone number listed in the NPPES registry for Med-Lake Laboratory, LLC is (478) 454-6696.
- Does Med-Lake Laboratory, LLC accept Medicare?
- Med-Lake Laboratory, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Med-Lake Laboratory, LLC?
- The authorized official listed on Med-Lake Laboratory, LLC's NPPES record is Jennifer Moss, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Med-Lake Laboratory, LLC's NPI active?
- Yes — Med-Lake Laboratory, LLC's NPI (1174092548) is active in the NPPES registry as of the last update on 2023-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.