PROVISTA DIAGNOSTICS

ALPHARETTA, GA
NPI1346850468
Entity TypeOrganization
Authorized ContactURIEL KUSIATIN
CEO
470-758-2777
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2020-08-04
Last Update Date2020-08-04
Business Address
PROVISTA DIAGNOSTICS
2001 WESTSIDE PKWY STE 240
ALPHARETTA, GA 30004-7408
Phone number: 470-758-2777
Mailing Address
PROVISTA DIAGNOSTICS
2001 WESTSIDE PKWY STE 240
ALPHARETTA, GA 30004-7408
Phone number: 470-758-2777
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