Organization
ALL CLINICAL LABS PHASE 1 INC
Active
Other names
All Clinical Labs Phase 1 INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLLA PERRY PHLEB TECHNOLOGISTS (FOUNDER)
(678) 743-5503
Entity
Organization
Contact information
Practice address
87 HIGHWAY 138 W, STOCKBRIDGE, GA 30281-4293
(678) 743-5503
(678) 743-5503
Mailing address
87 HIGHWAY 138 W, STOCKBRIDGE, GA 30281-4293
(678) 743-5503
(678) 743-5503
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2010004
GA
Other
Enumeration date
01/27/2010
Last updated
02/03/2011
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