| NPI | 1821362351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA WALLER CEO 404-748-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11086172) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |