Organization
LIFESPRING LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WILSON (OWNER)
(678) 561-3037
Entity
Organization
Contact information
Practice address
2200 GARRISON BLVD STE 3013, BALTIMORE, MD 21216
(678) 561-2140
Mailing address
1415 HIGHWAY 85 N STE 310-406, FAYETTEVILLE, GA 30214-7738
(678) 561-3037
(667) 260-6180
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D2149021
MD
Other
Enumeration date
06/21/2018
Last updated
08/02/2018
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