Organization
ASTRAEUS LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND GODWIN (CEO)
(678) 687-1110
Entity
Organization
Contact information
Practice address
1240 JOHNSON FERRY PL STE 102, MARIETTA, GA 30068-2032
(678) 615-8151
Mailing address
1240 JOHNSON FERRY PL STE 102, MARIETTA, GA 30068-2032
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/07/2023
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