| NPI | 1740306315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN BARR Asst Administrator 478-272-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 087-007) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |