Organization
360 LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI ELKHATIB (OWNER)
(770) 617-6060
Entity
Organization
Contact information
Practice address
1180 BEAVER RUIN RD, SUITE A, NORCROSS, GA 30093-6801
(678) 235-4212
(678) 399-3659
Mailing address
1180 BEAVER RUIN RD, SUITE A, NORCROSS, GA 30093-6801
(678) 235-4212
(678) 399-3659
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
067-078
GA
Other
Enumeration date
03/27/2017
Last updated
09/19/2019
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