| NPI | 1528280849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEELA PUTHUMANA Lab Manager Lab Owner 404-728-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 044-148) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |