| NPI | 1083018295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE A HYMEL CEO 678-738-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D2084569) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-07-16 |