| NPI | 1942234141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY MCDONALD President 912-537-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 06012R) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-04-08 |