Organization
IMPLICARE MED LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY JAMES (OWNER)
(678) 362-6342
Entity
Organization
Contact information
Practice address
4844 OLD NATIONAL HWY # A, COLLEGE PARK, GA 30337-6233
(678) 732-0222
Mailing address
976 SPRING DR, JONESBORO, GA 30238-6408
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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