| NPI | 1326594722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE H. RUSSELL Technical Director 404-219-0912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 033-109) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |