Organization
THE DRISINEXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN PIERCE (OWNER)
(770) 954-5052
Entity
Organization
Contact information
Practice address
106 ROCK QUARRY RD STE C, STOCKBRIDGE, GA 30281-3766
(770) 954-5052
(770) 692-8244
Mailing address
106 ROCK QUARRY RD STE C, STOCKBRIDGE, GA 30281-3766
(770) 954-5052
(770) 692-8244
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2254495
CLIA
GA
Enumeration date
07/13/2022
Last updated
07/13/2022
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