| NPI | 1447205349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ALSTON Office Manager 678-379-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 060-172) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-01-17 |