Provista Diagnostics
Provista Diagnostics is a Clinical Medical Laboratory in Alpharetta, Georgia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2001 Westside Pkwy Ste 240Alpharetta, GA 30004-7408
Phone: (470) 758-2777
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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 |
|---|
Record details
| NPI number | 1346850468 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Uriel Kusiatin — Ceo · (470) 758-2777 |
| NPI enumerated | August 4, 2020 |
| Last updated in NPPES | August 4, 2020 |
| Certification date | August 4, 2020 |
| Mailing address | 2001 Westside Pkwy Ste 240, Alpharetta, GA 30004-7408 |
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