Individual provider · Type 1 NPI

Raven Childs

Clinical Laboratory Director (Non-physician) · Atlanta, GA

NPI number 1356226203 Active

Practice location

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292

Call (404) 429-8377 Map

Mailing address

1122 Oak Knoll Ter SE
Atlanta, GA 30315-5214

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005X11D2327258 (GA)

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

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About NPI 1356226203

Raven Childs's National Provider Identifier is 1356226203, issued on Aug 8, 2025. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Atlanta, GA. The record was last updated on Aug 8, 2025.