| NPI | 1356773436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK OGBEBOR Administrator 770-892-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 2266) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |