Organization
CLINICAL DISGNOSTICS LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEELA PUTHUMANA M.T. (ASCP) (LAB MANAGER LAB OWNER)
(404) 728-9007
Entity
Organization
Contact information
Practice address
2910 N. DRUID HILLS RD, SUITE D, ATLANTA, GA 30329
(404) 728-9004
(404) 728-9011
Mailing address
2910 N. DRUID HILLS RD, SUITE D, ATLANTA, GA 30329
(404) 728-9004
(404) 728-9011
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
044-148
GA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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