Fourth Wall Testing LLC
Fourth Wall Testing LLC is a Clinical Medical Laboratory in Johns Creek, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11705 Jones Bridge Rd Ste B101Johns Creek, GA 30005-5080
Phone: (678) 580-5908
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
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1770230492 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Wilson — President · (352) 630-0886 |
| NPI enumerated | March 2, 2022 |
| Last updated in NPPES | October 12, 2022 |
| Certification date | October 12, 2022 |
| Mailing address | 712 S Ocean Shore Blvd # 217, Flagler Beach, FL 32136-3602 |
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