| NPI | 1306571146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE SCOTT CEO 678-756-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2022-07-17 |