| NPI | 1336022177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI TANKS Owner 470-787-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2026-05-08 |