NPI 1013784503

Astraeus Lab LLC

Organisation Clinical Medical Laboratory Marietta, GA

Practice location

Address: 1240 Johnson Ferry Pl STE 102, Marietta, GA 30068-2032
Phone: (678) 615-8151

Authorised official

Name: Raymond Godwin
Title: Ceo
Phone: (678) 687-1110

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Georgia →

Registry record

NPI: 1013784503
Entity type: Organization
NPI issued: 5 Dec 2023
Record last updated: 7 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.