Organization · Type 2 NPI

Kaiser Foundation Health Plan of Georgia Inc.

Clinical Medical Laboratory · Tucker, GA

NPI number 1104089739 Active

Practice location

200 Crescent Center Pkwy
Tucker, GA 30084-7047

Call (770) 496-3515 Map

Mailing address

3495 Piedmont Rd NE
Atlanta, GA 30305-1773

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X11D0259510 (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 1104089739

Kaiser Foundation Health Plan of Georgia Inc.'s National Provider Identifier is 1104089739, issued on Jul 3, 2008. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Tucker, GA. The record was last updated on Jul 15, 2021.