| NPI | 1245562230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NEWHOUSE Laboratory Director 770-205-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 058-004) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |