Organization
REGIONAL LAB OUTREACH
Active
Parent organization
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.
Authorized official
WENDY COOK (SENIOR VICE PRESIDENT AND CFO)
(706) 475-3463
Entity
Organization
Contact information
Practice address
1199 PRINCE AVE, REGIONAL LAB OUTREACH, ATHENS, GA 30606-2797
(706) 475-3318
(706) 475-5349
Mailing address
1199 PRINCE AVENUE, REGIONAL LAB OUTREACH, ATHENS, GA 30606
(706) 475-3318
(706) 475-5349
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
029-007
GA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000074A
—
GA
Enumeration date
10/10/2014
Last updated
11/15/2016
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