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Deactivated NPI 1194258731 Deactivated / Inactive NPI Female Practitioner

Tabitha Lopez Guerrero

Technician, Pathology - Phlebotomy • Suwanee, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tabitha Lopez Guerrero has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2017
NPI Deactivation Date May 02, 2026
Total Practice Duration ~9 Years of Practice (2017 – 2026)

Professional Overview & Biography Verified Profile Summary

Tabitha Lopez Guerrero was a registered Technician, Pathology - Phlebotomy practicing in Suwanee, GA. Throughout an active medical career spanning 9 years, Tabitha Lopez Guerrero provided care at the practice location at 3602 BROOKEFALL CT until profile deactivation on 2026-05-02.

Practice Location & Contact Primary Location

Practice Address

3602 Brookefall Ct

Suwanee, GA 300247035

Telephone 4044536010
Associated Practice Facility / Clinic
🏢 Victory Medical Services Llc Facility NPI 1508703984

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Pathology - Phlebotomy in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Suwanee, GA (261 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician, Pathology - Phlebotomy Primary Specialty

NUCC Taxonomy Code: 246RP1900X

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated May 02, 2026

Record deactivated on May 02, 2026

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Updated Practice Location May 01, 2024

Registered at 800 SATELLITE BLVD NW, SUWANEE, GA 300242878 (Tel: 4044536010)

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Provider Name / Credentials Updated May 01, 2024

Recorded as TABITHA LOPEZ

NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2017

Registered at 3602 BROOKEFALL CT, SUWANEE, GA 300247035 (Tel: 4044536010)

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Updated Business Mailing Address April 11, 2017

Registered at PO BOX 930204, NORCROSS, GA 300030204 (Tel: 4044536010)

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Provider Name / Credentials Updated April 11, 2017

Recorded as TABITHA LOPEZ GUERRERO

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Technician, Pathology

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Initial NPI Registration & Enumeration April 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194258731
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2017
Last Update: April 11, 2017
Deactivation Date: May 02, 2026

Mailing Address

Po Box 930204

Norcross, GA 300030204

Phone: 4044536010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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