Organization
QITEK LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY HUSK OWNER (CEO)
(888) 857-4835
Entity
Organization
Contact information
Practice address
4375 RIVER GREEN PKWY STE 200, DULUTH, GA 30096-8319
(888) 857-4835
(470) 645-9256
Mailing address
4375 RIVER GREEN PKWY STE 200, DULUTH, GA 30096-8319
(888) 857-4835
(470) 645-9256
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003231686A
—
GA
Enumeration date
01/15/2020
Last updated
10/25/2021
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