| NPI | 1972560548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SCHOLER Laboratory Director 706-868-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 121-015) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |