NPI age
14 years
Enumerated 2011-07-08
Across 621 active clinical medical laboratory providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D2184009 | CLIA |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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