| NPI | 1851155832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA CHANDLER Owner 770-453-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 171W00000X Contractor |
| 246RP1900X Technician, Pathology Phlebotomy | |
| 253Z00000X In Home Supportive Care | |
| 305S00000X Point of Service | |
| 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |