Organization
ENVISION HEALTHCARE RESOURCES, LLC
Active
Other names
Envision Clinical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIKELLE COLEBY MT(ASCP) (PRESIDENT/CEO)
(678) 251-8180
Entity
Organization
Contact information
Practice address
629 AIRPORT RD, SUITE C, LAWRENCEVILLE, GA 30046-4474
(770) 545-8877
Mailing address
629 AIRPORT RD STE J, LAWRENCEVILLE, GA 30046-4474
(678) 251-8180
(770) 545-8840
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
067-081
GA
Other
Enumeration date
04/26/2017
Last updated
04/30/2024
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