Organization
TLD LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY DICKERSON RN (LAB DIRECTOR)
(678) 886-0570
Entity
Organization
Contact information
Practice address
7254 SINYARD RD, LITHIA SPRINGS, GA 30122-2532
(678) 886-0570
Mailing address
7254 SINYARD RD, LITHIA SPRINGS, GA 30122-2532
(678) 886-0570
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/25/2022
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