Organization
ALPHA LAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR ALFONSO (OWNER)
(818) 212-4659
Entity
Organization
Contact information
Practice address
1290 KENNESTONE CIR, SUITE A-112, MARIETTA, GA 30066-6009
(818) 212-4659
Mailing address
1290 KENNESTONE CIR, SUITE A-112, MARIETTA, GA 30066-6009
(818) 212-4659
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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