Organization
AUGUSTA LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN SCHOLER PH.D. (LABORATORY DIRECTOR)
(706) 868-0472
Entity
Organization
Contact information
Practice address
1223 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 868-0472
(706) 650-0848
Mailing address
1223 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 868-0472
(706) 650-0848
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
121-015
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00148354A
—
GA
Enumeration date
04/27/2006
Last updated
08/22/2020
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