Organization
REVEAL DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN WELLER (OWNER)
(404) 549-9680
Entity
Organization
Contact information
Practice address
3915 CASCADE RD SW STE 355, ATLANTA, GA 30331-8520
(404) 549-9680
Mailing address
3915 CASCADE RD SW STE 355, ATLANTA, GA 30331-8520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
03/05/2024
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