Organization
MDC MED LAB LLC
Active
Other names
MDC Med Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MYIA CANIDATE LPN (OWNER)
(678) 933-9367
Entity
Organization
Contact information
Practice address
1001 VININGS TRL SE, SMYRNA, GA 30080-8638
(678) 933-9367
Mailing address
1001 VININGS TRL SE, SMYRNA, GA 30080-8638
(678) 933-9367
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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