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Organization

PARKWAY CLINICAL LABORATORY, INC.

Active
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Organization

PARKWAY CLINICAL LABORATORY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS JACKSON (LAB MANAGER/CEO)
(404) 362-1310
Entity
Organization

Contact information

Practice address
381 FOREST PKWY, SUITE B, FOREST PARK, GA 30297-2165
(404) 362-1310
(404) 362-1355
Mailing address
381 FOREST PKWY, SUITE B, FOREST PARK, GA 30297-2165
(404) 362-1310
(404) 362-1355

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
031-032
GA

Other

Enumeration date
07/04/2006
Last updated
10/19/2007
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