| NPI | 1457538134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS AURELIO RODRIGUEZ President 404-371-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 207ZP0102X) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MO 207ZP0102X) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |