| NPI | 1891135299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGED AWAD Chief Med Officer 678-584-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D2053177) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2021-01-12 |