# STAT LAB SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730098195
- **Authorized official:** NICHELLE MILLER MLS (CLINIC DIRECTOR)
- **Authorized official phone:** (470) 319-9540

## Contact information

- **Practice address:** 159 WINDING WAY APT D, LEESBURG, GA 31763-5097
- **Practice address phone:** (470) 319-9540
- **Mailing address:** 179 CEDRTIC STR, LEESBURG, GA 31763
- **Mailing address phone:** (470) 319-9540
- **Mailing address fax:** (470) 319-9540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246QL0900X | Laboratory Management Specialist/Technologist | — | NULL | Yes |
| 246QL0900X | Laboratory Management Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2026
- **Last updated:** 09/02/2026