NPI 1962903575
Newstar Medical Laboratories, LLC
Practice location
- Address
- 975 Cobb Place Blvd NW STE 218, Kennesaw, GA 30144-4802
- Phone
- (678) 505-8016
- Fax
- (678) 806-7192
Authorised official
- Name
- Raymond Godwin
- Title
- Ceo
- Phone
- (678) 505-8016
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1962903575
- Entity type
- Organization
- NPI issued
- 28 Feb 2018
- Record last updated
- 14 Mar 2022
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.