# GA DIAGNOSTICS SERVICES INC

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

## Provider details

- **NPI number:** 1801947270
- **Authorized official:** AMANDA PERSAUD (OFFICE MANAGER)
- **Authorized official phone:** (850) 537-9389

## Contact information

- **Practice address:** 4850 COUNTY ROAD 10, SAMSON, AL 36477-8054
- **Practice address phone:** (850) 537-9389
- **Practice address fax:** (850) 537-9398
- **Mailing address:** 4850 COUNTY ROAD 10, SAMSON, AL 36477-8054
- **Mailing address phone:** (850) 537-9389
- **Mailing address fax:** (850) 537-9398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | AL | Yes |

## Other

- **Enumeration date:** 01/14/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 51519893 | BLUE CROSS BLUE SHIELD | AL |