Organization
ISPM LABS, LLC
Active
Other names
Capstone Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MALONEY (OWNER)
(678) 515-4524
Entity
Organization
Contact information
Practice address
8601 DUNWOODY PL STE 444, ATLANTA, GA 30350
(678) 515-4524
Mailing address
PO BOX 743943, ATLANTA, GA 30374-3943
(678) 515-4524
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2073885
CLIA
GA
Enumeration date
04/23/2014
Last updated
05/24/2018
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