Organization
WEST GEORGIA DIAGNOSTIC TESTING LLC
Active
Organization
WEST GEORGIA DIAGNOSTIC TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATRICE BENSON (PRESIDENT)
(678) 777-1917
Entity
Organization
Contact information
Practice address
112 DALTON DR, VILLA RICA, GA 30180-7340
(678) 777-1917
Mailing address
112 DALTON DR, VILLA RICA, GA 30180-7340
(678) 777-1917
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up