| NPI | 1396751103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDER C REDDY President 770-513-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 067-025) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-07-06 |