| Medilab Diagnostics Llc | |
|
6737 Bill Carruth Pkwy Apt 4311 Hiram GA 30141-3779 | |
| (770) 370-8088 | |
| Not Available |
| Full Name | Medilab Diagnostics Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6737 Bill Carruth Pkwy Apt 4311, Hiram, Georgia |
| Authorized Official Name and Position | Kanisha Johnson (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 7703708088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medilab Diagnostics Llc 6737 Bill Carruth Pkwy Apt 4311 Hiram GA 30141-3779 Ph: () - | Medilab Diagnostics Llc 6737 Bill Carruth Pkwy Apt 4311 Hiram GA 30141-3779 Ph: (770) 370-8088 |
| NPI Number | 1972261436 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972261436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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