| NPI | 1225547276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL BENNETT President 404-431-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 069-023) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |