Organization
KMB DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA WEAVER (ADMINSTRATOR)
(833) 615-1090
Entity
Organization
Contact information
Practice address
2310 PARKLAKE DR NE STE 460, ATLANTA, GA 30345-2913
(470) 275-6924
Mailing address
2310 PARKLAKE DR NE # 460, ATLANTA, GA 30345-2913
(470) 275-6924
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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