Kaiser Permanente
Clinical Medical Laboratory in Newnan, GA. Organization (NPI-2).
NPI number1114229341
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1114229341
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Permanente
- Organization subpart
- No
- Enumeration date
- Nov 19, 2010
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | 11D2015700 | GA |
Practice location
203 Newnan Crossing BypNewnan, GA 30265-1063
Phone 770-304-4400 · Fax 770-304-4401
Mailing address
3495 Piedmont Rd NeAtlanta, GA 30305-1717
Authorized official
Katherine Farmer
Director Of Laboratory Services
4043099314
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All 6 Clinical Medical Laboratory providers in Newnan · All 2,174 providers in Newnan
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