NPI 1053897181
Phoenixlaboratory Services LLC
Practice location
- Address
- 6126 Prestley Mill Rd STE H, Douglasville, GA 30134-5624
- Phone
- (678) 715-2993
- Mailing address
- 8345 Mossybrook Ln, Douglasville, GA 30135-8510
Authorised official
- Name
- Jason Arnez Davis
- Title
- Principal
- Phone
- (678) 485-2233
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1053897181
- Entity type
- Organization
- NPI issued
- 11 Jul 2018
- Record last updated
- 11 Jul 2018
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.