Organization
PROSPECT LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON MICHELLE HOLMES (OWNER)
(470) 686-5800
Entity
Organization
Contact information
Practice address
3611 BRASELTON HWY STE 204-A, DACULA, GA 30019-4671
(888) 679-1555
Mailing address
3611 BRASELTON HWY STE 204-A, DACULA, GA 30019-4671
(888) 679-1555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
06/22/2026
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