Kaiser Permanente
Kaiser Permanente is a Clinical Medical Laboratory in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2011.
- Licensed in
- GA
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
101 Banks StaFayetteville, GA 30214-7507
Phone: (678) 610-3700
Fax: (678) 610-3704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence 11D2017908 (GA) |
Record details
| NPI number | 1932404274 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katherine Farmer — Director Of Laboratory Services · (404) 309-9314 |
| NPI enumerated | January 18, 2011 |
| Last updated in NPPES | July 15, 2021 |
| Certification date | July 15, 2021 |
| Mailing address | 3495 Piedmont Rd Ne, Atlanta, GA 30305-1717 |
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