| NPI | 1386517860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKIESHA CLOUD Owner 770-706-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QG0250X Clinic/Center, Genetics |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |