| NPI | 1679117584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CALLAWAY Director Of Operations 404-410-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |