Organization
ANTONIO PADILLA
Active
Other names
D & S Medical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO PADILLA (PRESIDENT)
18773076654
Entity
Organization
Contact information
Practice address
2195 INGLESIDE AVE, MACON, GA 31204-2029
(877) 307-6654
Mailing address
2195 INGLESIDE AVE, MACON, GA 31204-2029
(877) 307-6654
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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