Organization
NEXUS LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALPHONSO WATERS JR. (OWNER)
(404) 376-8325
Entity
Organization
Contact information
Practice address
1670 SCOTT BLVD, DECATUR, GA 30033
(404) 376-8325
(404) 294-8467
Mailing address
1670 SCOTT BOULEVARD, DECATUR, GA 30033-1424
(404) 296-8100
(404) 294-8467
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
97048
GA
Other
Enumeration date
03/06/2012
Last updated
03/22/2012
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