| NPI | 1467292235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGITTARIUS CONERLY Executive Director/Owner 770-703-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |