Domain Clinical Laboratory LLC
NPI #1922341312 in Loganville, Georgia
Provider Information
- NPI Number
- 1922341312
- Entity Type
- Organization
- Organization Name
- Domain Clinical Laboratory LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 3, 2013
- Last Updated
- Apr 24, 2013
Practice Location
- Address
- 367 ATHENS HWY BLDG 100
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2207
- Phone
- (678) 466-6760
Authorized Official
- Name
- GARRY SEATS
- Title
- COO
- Phone
- (770) 685-4981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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