Organization
BIOCONFIRM LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA DEANNE CROOK (PAST CREDENTIALING AGENT/AO)
(770) 449-4193
Entity
Organization
Contact information
Practice address
6755 PEACHTREE INDUSTRIAL BLVD SUITE 150, DORAVILLE, GA 30360
(770) 449-4193
(770) 559-4378
Mailing address
6755 PEACHTREE INDUSTRIAL BLVD, DORAVILLE, GA 30360-2223
(770) 449-4193
(770) 559-4378
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
04/01/2021
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