# MEDICAL TESTERS, INC

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

## Provider details

- **NPI number:** 1760136105
- **Authorized official:** BASHAH T GAINES (OWNER/OPERATOR)
- **Authorized official phone:** (321) 216-7352

## Contact information

- **Practice address:** 137 MAGNAVIEW DR, MCDONOUGH, GA 30253-3039
- **Practice address phone:** (321) 216-7352
- **Practice address fax:** (404) 393-0703
- **Mailing address:** 137 MAGNAVIEW DR, MCDONOUGH, GA 30253-3039
- **Mailing address phone:** (321) 216-7352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 02/04/2022
- **Last updated:** 03/28/2022
