Sovereign And Grace Services
Clinical Medical Laboratory in Thomasville, GA. Organization (NPI-2).
NPI number1932717618
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1932717618
- Entity type
- Organization (NPI-2)
- Legal business name
- Sovereign And Grace Services
- Organization subpart
- No
- Enumeration date
- Jul 17, 2020
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Other names
- A.R.K Diagnostics Solutions (Doing Business As)
Practice location
551 Smith Ave Ste AThomasville, GA 31792-5657
Phone 229-236-2585
Mailing address
241 Point RdThomasville, GA 31757-0940
Phone 229-403-5252 · Fax 229-226-6170
Other practice locations
241 Point Rd
Thomasville, GA 31757-0940
Thomasville, GA 31757-0940
Phone 229-403-5252 · Fax 229-226-6170
Authorized official
Kuluvanda Quarlette Cason
Ceo/Financial Manager
2292362585
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