Alpha Lab Services, LLC
Clinical Medical Laboratory in Marietta, GA. Organization (NPI-2).
NPI number1679934954
StatusActive
Last updated in NPPESMar 14, 2016
Details
- NPI
- 1679934954
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Lab Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2016
- Last updated
- Mar 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1290 Kennestone CirSuite A-112
Marietta, GA 30066-6009
Phone 818-212-4659
Mailing address
1290 Kennestone CirSuite A-112
Marietta, GA 30066-6009
Phone 818-212-4659
Authorized official
Victor Alfonso
Owner
8182124659
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