| NPI | 1235135252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT HOWARD President 404-371-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 145104) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2023-05-23 |