Organization
PREFERRED LABS OF VIDALIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMJAD KHAN MOHAMMED (AUTHORIZED OFFICIAL)
(912) 386-7117
Entity
Organization
Contact information
Practice address
414 LUGENIA DR, VIDALIA, GA 30474-7210
(912) 386-7117
Mailing address
414 LUGENIA DR, VIDALIA, GA 30474-7210
(912) 386-7117
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
12/05/2024
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