A1 Diagnostics LLC
Technician, Pathology, Medical Laboratory in Powder Springs, GA. Organization (NPI-2).
NPI number1902552946
StatusActive
Last updated in NPPESFeb 28, 2022
Details
- NPI
- 1902552946
- Entity type
- Organization (NPI-2)
- Legal business name
- A1 Diagnostics LLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2022
- Certification date
- Feb 28, 2022
- Last updated
- Feb 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RM2200X | Technician, Pathology, Medical Laboratory | – | – | Yes |
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – |
Practice location
3225 Creek Trce WPowder Springs, GA 30127-9055
Phone 678-499-5745
Mailing address
9842 Bosque Creek Cir Apt 202Tampa, FL 33619-5154
Phone 678-499-5745
Authorized official
Cynetra Zollicoffer
Owner
6784995745
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