Organization
PHOENIXLABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ARNEZ DAVIS (PRINCIPAL)
(678) 485-2233
Entity
Organization
Contact information
Practice address
6126 PRESTLEY MILL RD STE H, DOUGLASVILLE, GA 30134-5624
(678) 715-2993
Mailing address
8345 MOSSYBROOK LN, DOUGLASVILLE, GA 30135-8510
(678) 984-6227
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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