Fonzabella Lab LLC
Clinical Medical Laboratory in Snellville, GA. Organization (NPI-2).
NPI number1689596991
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1689596991
- Entity type
- Organization (NPI-2)
- Legal business name
- Fonzabella Lab LLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1908 Brookhill WaySnellville, GA 30078-6411
Phone 678-724-1441
Mailing address
1908 Brookhill WaySnellville, GA 30078-6411
Phone 678-724-1441
Authorized official
Somone Nicole Boston
Owner
6787241441
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