| NPI | 1396662979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY MOORE Owner 470-399-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2026-07-02 |
| Last Update Date | 2026-08-17 |