| NPI | 1538625868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO MONCADA Owner 404-213-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2023-05-25 |