| NPI | 1528125648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODILEE E KELSEY Manager 478-750-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 011-023) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |