NPI 1295043685

Kaiser Permanente

Organisation Clinical Medical Laboratory Douglasville, GA

Practice location

Address: 6875 Douglas Blvd, Douglasville, GA 30135-7133
Phone: (678) 838-2225
Fax: (678) 838-2246
Mailing address: 3495 Piedmont Rd NE, Atlanta, GA 30305-1717

Authorised official

Name: Katherine Farmer
Title: Director of Laboratory Services
Phone: (404) 309-9314

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Georgia →

Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X Licence 11D2012244 (GA)

Registry record

NPI: 1295043685
Entity type: Organization
NPI issued: 20 Sep 2010
Record last updated: 15 Jul 2021

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.