| NPI | 1144716424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA R BAYLIN COO 770-371-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 0012217) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-01-11 |