Organization
NDS LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE TERRI WIGGINS (OWNER)
(404) 454-6530
Entity
Organization
Contact information
Practice address
7740 ROSWELL RD STE 800A, SANDY SPRINGS, GA 30350-6893
(404) 399-9130
Mailing address
475 QUEEN ALIESE LN, JONESBORO, GA 30236-1727
(404) 454-6530
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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