| NPI | 1437118205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHOFFNER President 678-225-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 044-146) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: 11D07033990) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics | |
| 207SM0001X Medical Genetics, Molecular Genetic Pathology | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |