Organization
ELITE MEDICAL LABORATORIES INC
Active
Organization
ELITE MEDICAL LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALID M DIAB (OWNER)
(404) 451-7241
Entity
Organization
Contact information
Practice address
1130 HURRICANE SHOALS RD NE STE 1300, LAWRENCEVILLE, GA 30043-4871
(706) 400-4295
(770) 545-8523
Mailing address
1130 HURRICANE SHOALS RD NE STE 1300, LAWRENCEVILLE, GA 30043-4871
(404) 451-7241
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
09/19/2019
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