Idesta Medical INC
NPI #1063185015 in College Park, Georgia
Provider Information
- NPI Number
- 1063185015
- Entity Type
- Organization
- Organization Name
- Idesta Medical INC
- Primary Specialty
- Technician, Pathology - Phlebotomy
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Nov 12, 2024
Practice Location
- Address
- 4827 OLD NATIONAL HWY UNIT 2032
- City
- College Park
- State
- Georgia
- ZIP Code
- 30337-6234
- Phone
- (239) 895-7910
Authorized Official
- Name
- IDESTA RALPH
- Title
- OWNER
- Phone
- (239) 895-7910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Blood Banking & Transfusion Medicine — Blood Banking & Transfusion Medicine |
| Clinic/Center |
| Technician, Pathology - Phlebotomy — Phlebotomy |
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