Organization
QUANTUM DIAGNOSTIC LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIXON ONYIRIMBA (MANAGER)
(770) 941-5151
Entity
Organization
Contact information
Practice address
5859 LOVE ST, SUITE 102, AUSTELL, GA 30168-4030
(770) 941-5151
(770) 941-5152
Mailing address
5859 LOVE ST, SUITE 102, AUSTELL, GA 30168-4030
(770) 941-5151
(770) 941-5152
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
033-089
GA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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