Organization
PRUITTHEALTH DIAGNOSTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L. PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
1626 JEURGENS COURT, SUITE C, NORCROSS, GA 30093-2219
(770) 279-6200
Mailing address
1626 JEURGENS COURT, LEGAL DEPT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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