NPI | 1285169359 |
---|---|
Doing Business As | ENVISION CLINICAL LABORATORY |
Entity Type | Organization |
Authorized Contact | MIKELLE COLEBY President/CEO 678-251-8180 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 067-081) |
Enumeration Date | 2017-04-26 |
Last Update Date | 2024-04-30 |