Organization
LABMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J DAUGHERTY (PRESIDENT)
(678) 443-2330
Entity
Organization
Contact information
Practice address
2030 POWERS FERRY RD SE, SUITE 520, ATLANTA, GA 30339-2823
(678) 443-2330
(678) 443-2339
Mailing address
2030 POWERS FERRY RD SE, SUITE 520, ATLANTA, GA 30339-2823
(678) 443-2330
(678) 443-2339
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
11D1016172
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00869217A
—
GA
01
—
P00229191
RAILROAD MEDICARE
GA
Enumeration date
10/04/2006
Last updated
10/03/2009
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