Organization
CITIZEN'S DIAGNOSTIC LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIXON UKENNA ONYIRIMBA (MEDICAL TECHNOLOGIST)
(770) 941-5151
Entity
Organization
Contact information
Practice address
5860 LOVE ST, AUSTELL, GA 30168-4044
(770) 941-5151
(770) 941-5152
Mailing address
PO BOX 1406, AUSTELL, GA 30168-1057
(770) 941-5151
(770) 941-5152
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
11/20/2006
Last updated
03/24/2009
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