PREMIUM SECURITY PORTAMEDIC LAB LC

ALPHARETTA, GA
NPI1609702075
Entity TypeOrganization
Authorized ContactPATRICE NEALE
Owner
229-603-8563
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2026-06-22
Last Update Date2026-06-22
Business Address
PREMIUM SECURITY PORTAMEDIC LAB LC
3480 PRESTON RIDGE RD # 578
ALPHARETTA, GA 30005-2028
Phone number: 229-603-8563
Mailing Address
PREMIUM SECURITY PORTAMEDIC LAB LC
3480 PRESTON RIDGE RD # 578
ALPHARETTA, GA 30005-2028
Phone number: 229-603-8563
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