Organization · NPI-2

Ik Medical Diagnostic Services

Clinical Medical Laboratory · Albany, GA

NPI number1366029282
StatusActive
Last updated in NPPESApr 16, 2026

Details

NPI
1366029282
Entity type
Organization (NPI-2)
Legal business name
Ik Medical Diagnostic Services
Organization subpart
No
Enumeration date
Mar 26, 2021
Certification date
Apr 16, 2026
Last updated
Apr 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes
261Q00000X Clinic/Center––

Practice location

230 S Jackson St Ste 237
Albany, GA 31701-2877

Phone 229-304-4126

Mailing address

230 S Jackson St Ste 237
Albany, GA 31701-2877

Phone 229-304-4126

Authorized official

Femi Barrett
Owner
2296032465

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