Polaris Allergy Labs, INC.
Clinical Medical Laboratory in East Point, GA. Organization (NPI-2).
NPI number1073802153
StatusActive
Last updated in NPPESAug 8, 2011
Details
- NPI
- 1073802153
- Entity type
- Organization (NPI-2)
- Legal business name
- Polaris Allergy Labs, INC.
- Organization subpart
- No
- Enumeration date
- Mar 29, 2011
- Last updated
- Aug 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
3485 N Desert DrBuilding 2, Suite 206a
East Point, GA 30344-5724
Phone 404-419-6311 · Fax 404-419-6311
Mailing address
3316 S Cobb Dr Se Ste ASuite 215
Smyrna, GA 30080-4107
Phone 404-419-6311 · Fax 404-419-6311
Authorized official
R. Jackson Garth
President/Ceo
4044196311
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Medical Laboratory providers in East Point, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.