Organization
ALLSTAR MOBILE LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENITA WALTOWER RN (OWNER)
(706) 339-1603
Entity
Organization
Contact information
Practice address
1045 MCCALL ST, HEPHZIBAH, GA 30815-4660
(706) 339-1603
Mailing address
1045 MCCALL ST, HEPHZIBAH, GA 30815-4660
(706) 339-1603
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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