| 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 |