| NPI | 1104944123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE OCTAVIUS GREEN Laboratorie Director 478-742-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 0640536) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-01-14 |