| NPI | 1700167541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RTENEE C MCPHEE Managing Member 404-376-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |