Organization
BLUE OCEAN LABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DEAN (ADMINISTRATOR)
(614) 706-5206
Entity
Organization
Contact information
Practice address
115 HABERSHAM DR STE B, FAYETTEVILLE, GA 30214-7353
(470) 593-9800
Mailing address
403 CHAMBRAY HLS, PEACHTREE CITY, GA 30269-4247
(470) 593-9800
(470) 593-9900
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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