Organization · Type 2 NPI

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Clinical Medical Laboratory · Alpharetta, GA

NPI number 1609702075 Active

Practice location

3480 Preston Ridge Rd # 578
Alpharetta, GA 30005-2028

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

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 1609702075

Premium Security Portamedic Lab LC's National Provider Identifier is 1609702075, issued on Jun 22, 2026. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Alpharetta, GA. The record was last updated on Jun 22, 2026.