Organization
PRIORITY TOXICOLOGY LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY WILLIS PH.D (OWNER)
(678) 313-1134
Entity
Organization
Contact information
Practice address
6781 LONDONDERRY WAY STE 4, UNION CITY, GA 30291-2047
(678) 313-1134
Mailing address
7361 MELHANA LN, UNION CITY, GA 30291-5179
(678) 313-1134
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
11D2108401
GA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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