| NPI | 1467043877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WHITTAKER Director Health Management Division 404-721-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-04-19 |