| On Demand Diagnostic Lab Llc | |
|
3229 Mercer University Dr Macon GA 31204-5029 | |
| (404) 655-2292 | |
| Not Available |
| Full Name | On Demand Diagnostic Lab Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3229 Mercer University Dr, Macon, Georgia |
| Authorized Official Name and Position | Shemicka Johnson (OWNER) |
| Authorized Official Contact | 4046552292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Demand Diagnostic Lab Llc 6692 Dana Dr Macon GA 31220-5207 Ph: (404) 655-2292 | On Demand Diagnostic Lab Llc 3229 Mercer University Dr Macon GA 31204-5029 Ph: (404) 655-2292 |
| NPI Number | 1134870249 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134870249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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