| NPI | 1871024273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI ELKHATIB Owner 770-617-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 067-078) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2019-09-19 |