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Organization

LAB STAR MEDICAL LABORATORIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIM DRAKE (OWNER)
(678) 852-9432
Entity
Organization

Contact information

Practice address
226 ALCOVY ST, STE. A - 1, MONROE, GA 30655-2183
(770) 266-0613
(770) 207-4991
Mailing address
PO BOX 1949, MONROE, GA 30655-1998
(770) 266-0613
(770) 207-4991

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
147-004
GA

Other

Enumeration date
08/12/2006
Last updated
02/02/2021
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