| NPI | 1144568437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A HARLEY Medical Director 678-904-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 28500) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |