Organization
ALL CLINICAL LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE E GRIER CPT (CEO)
(770) 957-3103
Entity
Organization
Contact information
Practice address
155 WESTRIDGE PARKWAY, 102, MCDONOUGH, GA 30253
(770) 957-3103
(770) 957-3141
Mailing address
155 WESTRIDGE PKWY, 102, MCDONOUGH, GA 30253-3049
(770) 957-3103
(770) 957-3141
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
26641
GA
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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