| NPI | 1770260432 |
|---|---|
| Former Legal Business Name | PEACHTREE DIAGNOSTICS PLLC |
| Entity Type | Organization |
| Authorized Contact | COURTNEY BURNS Owner 903-708-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 293D00000X Physiological Laboratory | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-07-22 |