NPI | 1841632783 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN J SMITH Owner 404-291-0379 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 27516) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: GA 053035) |
Enumeration Date | 2013-07-19 |
Last Update Date | 2014-06-13 |