Mobile Lab Testing By Cherese
Clinical Medical Laboratory in East Point, GA. Organization (NPI-2).
NPI number1972192045
StatusActive
Last updated in NPPESFeb 11, 2021
Details
- NPI
- 1972192045
- Entity type
- Organization (NPI-2)
- Legal business name
- Mobile Lab Testing By Cherese
- Organization subpart
- No
- Enumeration date
- Jan 13, 2021
- Certification date
- Feb 11, 2021
- Last updated
- Feb 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1656 Ware Ave # 130East Point, GA 30344-3133
Phone 678-670-7200
Mailing address
1656 Ware Ave # 130East Point, GA 30344-3133
Phone 678-670-7200
Authorized official
Latoya Dawson
Billing Director
3522317551
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