| NPI | 1881938082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE E GRIER- THOMPSON Director 770-898-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 10113997) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |