| NPI | 1891216628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA S SYKES Lab Technician 678-704-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2022-07-21 |