| NPI | 1528098787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JACKSON Lab Manager/CEO 404-362-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 031-032) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-10-19 |