Organization · Type 2 NPI

Georgia Department of Public Health

Clinical Medical Laboratory · Decatur, GA

NPI number 1417240490 Active

Practice location

1749 Clairmont Rd
Decatur, GA 30033-4005

Call (404) 327-7900 Map

Fax (404) 327-7919

Mailing address

2 Peachtree Street NW, 15th Floor
Atlanta, GA 30303-3142

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	044-121 (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 1417240490

Georgia Department of Public Health's National Provider Identifier is 1417240490, issued on May 24, 2011. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Decatur, GA. The record was last updated on May 24, 2011.