| NPI | 1477513323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY M ROBINSON Revenue Cycle/Credentialing Manager 770-490-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL ME46694) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2026-01-26 |