Organization
COVENANT MEDICAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL O OYERINDE PH.D. (LABORATORY DIRECTOR)
(770) 471-8011
Entity
Organization
Contact information
Practice address
2759 MOUNT ZION PKWY, SUITE A/B, JONESBORO, GA 30236-2568
(770) 471-8011
(678) 833-5506
Mailing address
2759 MOUNT ZION PKWY, SUITE A/B, JONESBORO, GA 30236-2568
(770) 471-8011
(678) 833-5506
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
031-039
GA
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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