Idesta Medical Inc
Idesta Medical Inc is a Blood Banking & Transfusion Medicine Physician in Tyrone, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1015 Tyrone Rd # 410-CTyrone, GA 30290-2407
Phone: (470) 818-2264
Fax: (866) 984-3729
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
| Phlebotomy Technician (primary) | Taxonomy 246RP1900X |
|---|---|
| Blood Banking & Transfusion Medicine Physician | Taxonomy 207ZB0001X |
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1063185015 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Idesta Ralph — Owner · (239) 895-7910 |
| NPI enumerated | July 27, 2021 |
| Last updated in NPPES | June 10, 2026 |
| Certification date | June 10, 2026 |
| Mailing address | 4827 Old National Hwy Unit 2032, College Park, GA 30337-6234 |