| NPI | 1215790852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERITA A A MCQUEEN Owner 404-940-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |