Organization
ON DEMAND DIAGNOSTIC LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMICKA JOHNSON (OWNER)
(404) 655-2292
Entity
Organization
Contact information
Practice address
3229 MERCER UNIVERSITY DR, MACON, GA 31204-5029
(404) 655-2292
Mailing address
6692 DANA DR, MACON, GA 31220-5207
(404) 655-2292
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
02/25/2022
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