Organization
SPEED LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN UGWOKE (MANAGING MEMBER)
(770) 932-0280
Entity
Organization
Contact information
Practice address
4405 INTERNATIONAL BLVD STE B104, NORCROSS, GA 30093-3013
(770) 932-0280
Mailing address
4405 INTERNATIONAL BLVD STE B104, NORCROSS, GA 30093-3013
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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