| NPI | 1154445898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H RON DAVIDSON Executive Administrator 404-459-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 060171) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-08-03 |