| NPI | 1366524563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T SPRINGER Owner 770-270-9471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 044134) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-04-20 |