| NPI | 1508726522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIERICA THOMAS Lab Director/Owner 770-364-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |