| NPI | 1891889747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY D. LEWIS CEO 770-723-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 044-151) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |