| NPI | 1487339503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANIE V HESTER Owner 678-949-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-10-05 |