| NPI | 1497414445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BAILEY CEO 770-633-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |