Organization
NCR MEDICAL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI CHINEYE RENFROE HT(ASCP) CM, CPT (OWNER)
(877) 822-2349
Entity
Organization
Contact information
Practice address
168 N JOHNSTON ST STE 300, DALLAS, GA 30132-4741
(877) 822-2349
(877) 341-4313
Mailing address
168 N JOHNSTON ST STE 300, DALLAS, GA 30132-4741
(877) 822-2349
(877) 341-4313
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
04/01/2025
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