| Hibiscus Lab Services | |
|
376 Maxham Rd Ste D Austell GA 30168-8317 | |
| (718) 679-1620 | |
| Not Available |
| Full Name | Hibiscus Lab Services |
|---|---|
| Speciality | Clinic/center |
| Location | 376 Maxham Rd Ste D, Austell, Georgia |
| Authorized Official Name and Position | Teena Clarke (OWNER) |
| Authorized Official Contact | 7704859050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hibiscus Lab Services 669 Tomahawk Pl Austell GA 30168-6339 Ph: (718) 679-1620 | Hibiscus Lab Services 376 Maxham Rd Ste D Austell GA 30168-8317 Ph: (718) 679-1620 |
| NPI Number | 1538811740 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538811740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
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