| NPI | 1699861328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DAUGHERTY President 678-443-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D1016172) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-10-03 |