| NPI | 1518062918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT AUSTIN Manager 912-260-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 001348) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |