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NPI Code Detail

MEDICARE: ACCESS ANALYTICAL LABORATORY, LLC

MEDICARE: ACCESS ANALYTICAL LABORATORY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory060-172GA

General Provider Information

NPI Number : 1447205349
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS ANALYTICAL LABORATORY, LLC
Provider Business Mailing Address
First Line : 5239 W FAYETTEVILLE RD
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30349-5413
Country : US
Telephone Number : 678-379-4100
Fax Number : 404-348-0221
Provider Business Practice Location Address
First Line : 5239 W FAYETTEVILLE RD
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30349-5413
Country : US
Telephone Number : 678-379-4100
Fax Number : 404-348-0221
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. MARCIA ALSTON
Credential :
Telephone Number : 678-379-4100
Provider Enumeration Date : 05/23/2006
Last Update Date : 01/17/2013

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Directions to “ACCESS ANALYTICAL LABORATORY, LLC ” Practice Location

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