Provista Diagnostics
NPI #1346850468 in Alpharetta, Georgia
Provider Information
- NPI Number
- 1346850468
- Entity Type
- Organization
- Organization Name
- Provista Diagnostics
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 4, 2020
- Last Updated
- Aug 4, 2020
Practice Location
- Address
- 2001 WESTSIDE PKWY STE 240
- City
- Alpharetta
- State
- Georgia
- ZIP Code
- 30004-7408
- Phone
- (470) 758-2777
Authorized Official
- Name
- URIEL KUSIATIN
- Title
- CEO
- Phone
- (470) 758-2777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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