| NPI | 1699753913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R WADE President 770-994-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 031-018) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-08-22 |