Organization
POLARIS ALLERGY LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. JACKSON GARTH MBA, DBA (PRESIDENT/CEO)
(404) 419-6311
Entity
Organization
Contact information
Practice address
3485 N DESERT DR, BUILDING 2, SUITE 206A, EAST POINT, GA 30344-5724
(404) 419-6311
(404) 419-6311
Mailing address
3316 S COBB DR SE STE A, SUITE 215, SMYRNA, GA 30080-4107
(404) 419-6311
(404) 419-6311
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/29/2011
Last updated
08/08/2011
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