Organization
FT MEDICAL GROUP, LLC
Active
Other names
ID-Tech Molecular Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYLE MAURICE FARRAR (CHIEF OPERATING OFFICER)
(404) 245-5543
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW STE 516, ATLANTA, GA 30315-7115
(404) 915-8877
Mailing address
777 CLEVELAND AVE SW STE 516, ATLANTA, GA 30315-7115
(404) 245-5543
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
10/28/2020
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