Kaiser Permanente
Clinical Medical Laboratory in Douglasville, GA. Organization (NPI-2).
NPI number1295043685
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1295043685
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Permanente
- Organization subpart
- No
- Enumeration date
- Sep 20, 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 | 11D2012244 | GA |
Practice location
6875 Douglas BlvdDouglasville, GA 30135-7133
Phone 678-838-2225 · Fax 678-838-2246
Mailing address
3495 Piedmont Rd NeAtlanta, GA 30305-1717
Phone 678-838-2225 · Fax 678-838-2246
Authorized official
Katherine Farmer
Director Of Laboratory Services
4043099314
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All 9 Clinical Medical Laboratory providers in Douglasville · All 2,137 providers in Douglasville
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