Organization
SUMMIT CLINICAL LABORTARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHITH DEVATHI (PRESIDENT)
(217) 494-5752
Entity
Organization
Contact information
Practice address
1565 WOODINGTON CIR STE 103, LAWRENCEVILLE, GA 30044-2986
(678) 825-6836
(678) 682-7664
Mailing address
1565 WOODINGTON CIR STE 103, LAWRENCEVILLE, GA 30044-2986
(678) 825-6836
(678) 682-7664
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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