Organization · NPI-2

Advanced Medical Diagnostics Of Texas, LLC

Clinical Medical Laboratory · Peachtree Corners, GA

NPI number1689349102
StatusActive
Last updated in NPPESJun 27, 2023

Details

NPI
1689349102
Entity type
Organization (NPI-2)
Legal business name
Advanced Medical Diagnostics Of Texas, LLC
Organization subpart
No
Enumeration date
Aug 16, 2021
Certification date
Jun 27, 2023
Last updated
Jun 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

333 Research Ct Ste 200
Peachtree Corners, GA 30092

Phone 866-508-6060

Mailing address

333 Research Ct Ste 200
Peachtree Corners, GA 30092

Phone 817-526-5380

Authorized official

Brandon Lorensten
Owner
8665086060

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