All Clinical Labs
Clinical Medical Laboratory in Mcdonough, GA. Organization (NPI-2).
NPI number1417283458
StatusActive
Last updated in NPPESOct 27, 2009
Details
- NPI
- 1417283458
- Entity type
- Organization (NPI-2)
- Legal business name
- All Clinical Labs
- Organization subpart
- No
- Enumeration date
- Oct 27, 2009
- Last updated
- Oct 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 26641 | GA | Yes |
Practice location
155 Westridge Parkway102
Mcdonough, GA 30253
Phone 770-957-3103 · Fax 770-957-3141
Mailing address
155 Westridge Pkwy102
Mcdonough, GA 30253-3049
Phone 770-957-3103 · Fax 770-957-3141
Authorized official
Lorrie E Grier
Ceo
7709573103
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