NPI 1114363207

Ldc Dermatopathology, LLC

Organisation Clinical Medical Laboratory Marietta, GA

Practice location

Address: 4343 Shallowford Rd Suite B3b, Marietta, GA 30062-5023
Phone: (614) 273-5705
Fax: (678) 742-8486

Authorised official

Name: Lynn D Cooper
Title: Owner/President
Phone: (614) 273-5705

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 61056 (GA)

Other Clinical Medical Laboratory providers in Georgia →

Registry record

NPI: 1114363207
Entity type: Organization
NPI issued: 15 May 2013
Record last updated: 15 May 2013

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.