Organization
CLINLGX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE SCOTT JR. (CEO)
(678) 756-8304
Entity
Organization
Contact information
Practice address
3379 PEACHTREE RD NE STE 555, ATLANTA, GA 30326-1418
(678) 756-8304
Mailing address
1261 KAY TER SE, CONYERS, GA 30013-2939
(678) 756-8304
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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