Phoenixlaboratory Services LLC
NPI #1053897181 in Douglasville, Georgia
Provider Information
- NPI Number
- 1053897181
- Entity Type
- Organization
- Organization Name
- Phoenixlaboratory Services LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Jul 11, 2018
- Last Updated
- Jul 11, 2018
Practice Location
- Address
- 6126 PRESTLEY MILL RD STE H
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134-5624
- Phone
- (678) 715-2993
Authorized Official
- Name
- MR. JASON ARNEZ DAVIS
- Title
- PRINCIPAL
- Phone
- (678) 485-2233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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