| NPI | 1134217342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY CATHERINE JERDAN Business Manager 770-426-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D0645784) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-12-30 |