OrganizationActive
Fourth Wall Testing LLC
NPI 1770230492 · Clinical Medical Laboratory · Johns Creek, GA
Fourth Wall Testing LLC is a Clinical Medical Laboratory organization in Johns Creek, GA (NPI 1770230492).
Provider details
- NPI number
- 1770230492
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lisa Wilson, President(352) 630-0886
Specialties & taxonomies
Laboratories
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
11705 Jones Bridge Rd Ste B101
Johns Creek, GA 30005-5080
Phone: (678) 580-5908
Street-level locationGet directions
Mailing address
712 S Ocean Shore Blvd # 217
Flagler Beach, FL 32136-3602
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2022-10-12
- Certified
- 2022-10-12
Frequently asked questions
- What is Fourth Wall Testing LLC's NPI number?
- Fourth Wall Testing LLC's National Provider Identifier (NPI) is 1770230492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fourth Wall Testing LLC?
- Fourth Wall Testing LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Fourth Wall Testing LLC located?
- Fourth Wall Testing LLC's practice location on file with NPPES is 11705 Jones Bridge Rd Ste B101, Johns Creek, GA 30005-5080.
- What is Fourth Wall Testing LLC's phone number?
- The practice phone number listed in the NPPES registry for Fourth Wall Testing LLC is (678) 580-5908.
- Who is the authorized official for Fourth Wall Testing LLC?
- The authorized official listed on Fourth Wall Testing LLC's NPPES record is Lisa Wilson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fourth Wall Testing LLC's NPI active?
- Yes — Fourth Wall Testing LLC's NPI (1770230492) is active in the NPPES registry as of the last update on 2022-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.