Organization · Type 2 NPI

The Longstreet Clinic, PC

Clinical Medical Laboratory · Gainesville, GA

NPI number 1003052416 Active

Practice location

725 Jesse Jewell Pkwy SE, Suite 260
Gainesville, GA 30501-3834

Call (770) 535-0079 Map

Fax (770) 297-6610

Mailing address

PO Box 658
Gainesville, GA 30503-0658

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X069-004 (GA)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1003052416

The Longstreet Clinic, PC's National Provider Identifier is 1003052416, issued on Jan 7, 2009. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Gainesville, GA. The record was last updated on Jan 7, 2009.