| NPI | 1154209666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA BLAKE CEO/Owner 770-402-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-12-13 |