Pruitthealth Diagnostic Services, INC.
Clinical Medical Laboratory in Norcross, GA. Organization (NPI-2).
NPI number1043982002
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1043982002
- Entity type
- Organization (NPI-2)
- Legal business name
- Pruitthealth Diagnostic Services, INC.
- Organization subpart
- No
- Enumeration date
- Sep 29, 2021
- Certification date
- Sep 10, 2021
- Last updated
- Sep 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1626 Jeurgens CourtSuite C
Norcross, GA 30093-2219
Phone 770-279-6200
Mailing address
1626 Jeurgens CourtLegal Dept
Norcross, GA 30093-2219
Phone 770-279-6200
Authorized official
Neil L. Pruitt
Chairman And Ceo
7702796200
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