| NPI | 1689945800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY W. HARDWICK Practice Manager 770-948-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D2000466) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-02-02 |