| NPI | 1184084501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID MECHWART Owner 404-831-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D2090741) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |