Organization

Four Corners Testing Llc

Clinic/Center in Locust Grove, GA(View on Map)

Legal Business Name

Four Corners Testing Llc

NPI Number

1194431718

NPI Type

Organization

Enumeration Date

01/26/2023

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

14150 NE 20TH ST # F1-282
4050 GA-42

City

Bellevue
Locust Grove

State

WA
GA

Postal Code

98007-3700
30248

Country

US
US

Telephone Number

N/A
(206) 371-3336

Authorized Official

Name

Bryan Jones

Title or Position

PRINCIPAL

Telephone Number

(206) 371-3336

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/26/2023

Provider Address