| NPI | 1851246300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE RUFFIN Director 470-544-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 202K00000X Phlebology |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-03-02 |