Organization
PROSTAR DIAGNOSTIC & SCREENING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE SHARISE HORTON (CEO)
(770) 480-0759
Entity
Organization
Contact information
Practice address
51 MAGGIES PT, DALLAS, GA 30132-0227
(177) 048-0075
Mailing address
51 MAGGIES PT, DALLAS, GA 30132-0227
(770) 480-0759
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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