Organization
ELITE DIAGNOSTICS LABS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY WU PH.D (AUTHORIZED OFFICIAL)
(844) 854-8556
Entity
Organization
Contact information
Practice address
1130 HURRICANE SHOALS RD NE, SUITE 1300, LAWRENCEVILLE, GA 30043-4851
(844) 854-8556
(770) 338-1994
Mailing address
1130 HURRICANE SHOALS RD NE, SUITE 1300, LAWRENCEVILLE, GA 30043-4851
(844) 854-8556
(770) 338-1994
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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