Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE FARMER (DIRECTOR OF LABORATORY SERVICES)
(404) 309-9314
Entity
Organization
Contact information
Practice address
6875 DOUGLAS BLVD, DOUGLASVILLE, GA 30135-7133
(678) 838-2225
(678) 838-2246
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(678) 838-2225
(678) 838-2246
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
11D2012244
GA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
07/15/2021
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