NPI 1790194066

Diversified Diagnostics, INC

Organisation Point of Service Marietta, GA

Practice location

Address: 2440 Sandy Plains Rd Suite 115, Marietta, GA 30066-7217
Phone: (678) 906-1634

Authorised official

Name: Maksim Perlin
Title: President
Phone: (678) 906-1634

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Georgia →

Registry record

NPI: 1790194066
Entity type: Organization
NPI issued: 12 Aug 2014
Record last updated: 12 Aug 2014

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.