| NPI | 1609692128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL R PAULK Owner 404-452-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2024-11-30 |