Kaiser Foundation Health Plan Of Georgia INC.
Clinical Medical Laboratory in Mcdonough, GA. Organization (NPI-2).
NPI number1386807915
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1386807915
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan Of Georgia INC.
- Organization subpart
- No
- Enumeration date
- Jul 3, 2008
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 11D1003937 | GA | Yes |
Practice location
1125 Town Center Village DrMcdonough, GA 30253-5970
Phone 678-583-6557
Mailing address
3495 Piedmont Rd NeAtlanta, GA 30305-1773
Authorized official
Katherine Farmer
Director Of Laboratory Services
4043099314
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