NPI 1477187847

Jortay Diagnostic

Organisation Physiological Laboratory Marietta, GA

Practice location

Address: 1290 Kennestone Circle Building A, Suite 112, Marietta, GA 30066-6009
Phone: (770) 364-2184
Mailing address: PO Box 1157, Woodstock, GA 30188-1157

Authorised official

Name: Tamika Goins
Title: Managing Partner
Phone: (770) 364-2184

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1477187847
Entity type: Organization
NPI issued: 25 Feb 2020
Record last updated: 25 Feb 2020

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.