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NPI 1447906409

NPI 1447906409 : METRO TESTING CENTER : SNELLVILLE, GA

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General NPI Number Information
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    NPI Number           |    1447906409
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    Entity Type          |    Organization 
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    Legal Business Name  |    METRO TESTING CENTER 
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Dates
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    Enumeration Date     |    02/28/2022
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    Last Update Date     |    02/28/2022
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Provider Practice Location Address
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    Address Line         |    1381 SCENIC HWY N 
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    City                 |    SNELLVILLE
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    State                |    GA
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    Zip                  |    30078-2125
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    Country              |    US
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    Telephone            |    404-590-5008
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1381 SCENIC HWY N 
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    City                 |    SNELLVILLE
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    State                |    GA
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    Zip                  |    30078-2125
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    Country              |    US
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    Telephone            |    404-590-5008
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BARBIE  CONNER 
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    Credential           |    
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    Telephone            |    404-590-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    
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    License Number State |    
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