| NPI | 1891130639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JOHNSTON Medical Director 678-736-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 018579) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |