CLINICAL LABORATORY SERVICES, INC.
Medical Laboratory at Athens St, Winder, GA

License number
Georgia 007003
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. KERRY G MASHBURN
Title: REGISTERED AGENT
Phone: (770) 307-5820
Address
Address
189 W Athens St SUITE 2, Winder, GA 30680
National Provider ID: 1760579825
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CLINICAL LABORATORY SERVICES, INC

Winder, GA

Status:
Inactive
Industry:
Medical Laboratory
Registration:
Jun 30, 1997
Phone:
(770) 307-4157 (Phone)
Addresses:
PO Box 1771, Winder, GA 30680 (Physical)
189 W Athens St, Winder, GA 30680
State ID:
K723925
Business type:
Domestic Profit Corporation
Chief Executive Officer, Chief Financial Officers:
S Jeffrey Clausen (CEO), 189 W Athens St SUITE 2, Winder, GA 30680 (Physical),Carrie Mashburn (President),Kerry G. Mashburn (Registered Agent),...
Agent:
Kerry Mashburn,189 W Athens St SUITE 2, Winder, GA (Physical)

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