| NPI | 1609887710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVING GEORGE KAGAN Laboratory Director Owner 770-496-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 044-041) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |