Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pro Omnibus Diagnostic Center LLC

Organization Clinical Medical Laboratory · NPI 1619788411

Pro Omnibus Diagnostic Center LLC is a Clinical Medical Laboratory in Jonesboro, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9442 S Main St Ste 116
Jonesboro, GA 30236-6073
Phone: (678) 545-9195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1619788411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Clowers — Owner/Manager · (678) 545-9195
NPI enumeratedJanuary 20, 2025
Last updated in NPPESSeptember 2, 2026
Certification dateJuly 1, 2025
Mailing address9442 S Main St Ste 116, Jonesboro, GA 30236-6073

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