Ethereal Diagnostics & Services LLC
Ethereal Diagnostics & Services LLC is a Health Service Clinic/Center in Valdosta, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 N Patterson St Ste AValdosta, GA 31601-5570
Phone: (877) 586-2971
Fax: (866) 703-1440
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1629822259 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Porsha Robinson — Ceo · (877) 586-2971 |
| NPI enumerated | April 11, 2024 |
| Last updated in NPPES | April 11, 2024 |
| Certification date | April 11, 2024 |
| Mailing address | 1 Grand Park Ln Apt 3119, Thomasville, GA 31757-4909 |
Other providers in Valdosta
-
It'S Just Blood Diagnostic Testing Center LLC
1004 Marion St, Valdosta, GA 31601-4029 · (229) 415-8814
-
Velocity Dx LLC
304 Janet St Ste H, Valdosta, GA 31602-2643 · (229) 474-6674