| NPI | 1669921599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HOGAN Owner 404-803-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D2117640) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |