| NPI | 1427041888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN K BRALLEY President 770-446-5483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 067007) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-12-12 |