| NPI | 1013301159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEZ AGOLLI Manger 678-849-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 18D2091975) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2018-06-01 |