Provider Demographics
NPI:1164976619
Name:MOLECULAR7 DX
Entity Type:Organization
Organization Name:MOLECULAR7 DX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-663-6739
Mailing Address - Street 1:1900 LAKE PARK DR SE
Mailing Address - Street 2:SUITE 345
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-7648
Mailing Address - Country:US
Mailing Address - Phone:844-663-6739
Mailing Address - Fax:
Practice Address - Street 1:1900 LAKE PARK DR SE
Practice Address - Street 2:SUITE 345
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-7648
Practice Address - Country:US
Practice Address - Phone:844-663-6739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA16206291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory