Organization
LAB STAR MEDICAL LABORATORIES, LLC
Active
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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