Individual
ILAMAE PRICE
Active
Individual
ILAMAE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
20215116
GA
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2184009
CLIA
GA
Enumeration date
07/08/2011
Last updated
08/23/2021
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