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1134870249
ON DEMAND DIAGNOSTIC LAB LLC
MACON, GA
NPI
1134870249
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Entity Type
Organization
Authorized Contact
SHEMICKA JOHNSON
Owner
404-655-2292
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-01-11
Last Update Date
2022-02-25
Business Address
ON DEMAND DIAGNOSTIC LAB LLC
3229 MERCER UNIVERSITY DR
MACON, GA 31204-5029
Phone number: 404-655-2292
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Mailing Address
ON DEMAND DIAGNOSTIC LAB LLC
6692 DANA DR
MACON, GA 31220-5207
Phone number: 404-655-2292
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